Assessment of Coronary steal syndrome: Video, Anatomy & Definition | Osmosis

Question

A 60-year-old man is brought to the emergency department due to chest pain that started suddenly 15 minutes ago while playing with his grandchildren. The patient describes the pain as “pressure and tightness” located in the center of his chest. The patient reports that he occasionally experiences mild chest discomfort when going up the stairs. Medical history is significant for a 30-pack-year smoking history, hypercholesterolemia, and hypertension. The patient is given a sublingual medication while in the emergency department, and the symptoms resolve within a few minutes. Which of the following sets of hemodynamic changes is most likely to be seen in this patient following the administration of this medication?

*(-) decrease, (0) no effect, (+) increase

Accepted Answer

Heart rate Preload reduction Afterload reduction
+ ++
+

Answer

Heart rate Preload reduction Afterload reduction
+ 0 ++

Answer

Heart rate Preload reduction Afterload reduction
0
++
++

Answer

Heart rate Preload reduction Afterload reduction
- 0 +

Answer

Heart rate Preload reduction Afterload reduction
0 0 ++

Questions or feedback?

Coronary steal syndrome

Pathology

Cardiovascular system