{"id":12214,"date":"2021-06-18T13:12:58","date_gmt":"2021-06-18T13:12:58","guid":{"rendered":"https:\/\/anavara.flywheelsites.com\/treatment\/cardiac-syndrome-x\/"},"modified":"2022-05-25T23:11:20","modified_gmt":"2022-05-25T23:11:20","slug":"cardiac-syndrome-x","status":"publish","type":"treatment","link":"https:\/\/anavara.com\/treatment\/cardiac-syndrome-x\/","title":{"rendered":"Cardiac syndrome X"},"content":{"rendered":"<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [{\n    \"@type\": \"Question\",\n    \"name\": \"Is cardiac syndrome X genetic?\",\n    \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"CSX is currently accepted to be a heterogeneous clinical diagnosis that includes genetic, coronary micro-vascular, metabolic, hormonal, and cardiovascular risk factors.\"\n    }\n  },{\n    \"@type\": \"Question\",\n    \"name\": \"Is there a cure for cardiac syndrome X?\",\n    \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"CSX is treated with lifestyle modification, including diet, exercise, smoking cessation, and weight reduction. A cardiac-prudent diet is advised. Pharmacotherapy may involve the use of anti-anginal agents like beta-blockers (first line of therapy), calcium channel blockers, and nitrates.\"\n    }\n  },{\n    \"@type\": \"Question\",\n    \"name\": \"Is micro-vascular angina a heart disease?\",\n    \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"A type of cardiovascular disease known to physicians as microvascular angina affects the heart\u2019s tiniest arteries and causes chest pain. The disease is sneaky in that it does not show up on traditional heart scans but is linked to serious health outcomes, like heart attacks\"\n    }\n  }]\n}\n<\/script><strong>WHAT IS CARDIAC SYNDROME X?<\/strong>\n\n<span style=\"font-weight: 400;\">Cardiac syndrome X is characterized by angina-like chest pain, due to decreased blood flow to the heart, even when the coronary arteries are normal, thereby compelling the heart to work harder.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">About 20,000 new cases of cardiac syndrome X are reported in the United Kingdom each year, and it is most common in women than men.\u00a0<\/span><span style=\"font-weight: 400;\">Other names for cardiac syndrome X are microvascular angina and CSX.<\/span>\n\n<strong>RISKS ASSOCIATED WITH CARDIAC SYNDROME X<\/strong>\n\n<span style=\"font-weight: 400;\">Endothelial dysfunction in cardiac syndrome X (CSX) appears to involve multiple factors and is associated with some risk factors like smoking, <a href=\"https:\/\/anavara.com\/treatment\/cardiac-syndrome-x\/\">hypercholesterolemia (high blood cholesterol levels)<\/a>, obesity, and inflammation.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Cardiac syndrome X causes an angina-like chest pain that subjects you to temporal discomfort. ST depression (myocardial ischemia) as a result of micro-vascular angina has been reported during intense exercises, <a href=\"https:\/\/anavara.com\/treatment\/coronary-artery-bypass-graft-surgery-cabg\/\" target=\"_blank\">even at normal coronary epicardial arteries<\/a>, especially in post-menopausal women.<\/span>\n\n<strong>DIAGNOSIS OF CARDIAC SYNDROME X<\/strong>\n\n<span style=\"font-weight: 400;\">In diagnosing for cardiac syndrome X, your doctor will want to know all about:<\/span>\n<ul>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The pain and its pattern, to rule out other causes of the pain.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your medical history.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your lifestyle habits, such as smoking, drinks, diet, and exercise.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Family history of CSX.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood pressure (BP) reading.<\/span><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">The following tests may be carried out by the doctor to diagnose if you have CSX or not:<\/span>\n<ul>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Blood Test<\/strong><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">This is used to check your cholesterol level. If angina is suspected, your doctor may give you a dose of glyceryl trinitrate (GTN) spray or tablets under your tongue when angina pain develops.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">The GTN when absorbed into the bloodstream should ease the pain within a few minutes. It works by relaxing the blood vessels to reduce the workload on the heart, and also helps to widen the coronary arteries, thereby increasing the flow of blood to the heart muscle.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Temporary headache and\/or flushing may occur after taking GTN. If there\u2019s no quick relief from the pain after this medication, tell your doctor.<\/span>\n<ul>\n \t<li aria-level=\"1\"><strong>Electrocardiogram (ECG)<\/strong><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">This is done while you are exercising. This is also referred to as a \u201cstress test.\u201d The doctor may be able to see a typical pattern (a downward sloping ST segment). With this, the diagnosis can be made.<\/span>\n<ul>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Angiogram Test<\/strong><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">Here, a special dye is injected into the arteries or heart (coronary arteries). With the help of x-ray equipment, the structure of the arteries can be shown, as well as the location and severity of any narrowing.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">In people with CSX, the angiogram result is usually normal. The angiogram, however, may show narrowing when certain chemicals, such as acetylcholine are injected. These chemicals when injected, cause abnormalities in the angiogram and help to diagnose CSX. This is the confirmatory test for CSX.<\/span>\n\n<strong>TREATMENT OF CSX<\/strong>\n\n<strong>Specialty:<\/strong><span style=\"font-weight: 400;\"> Cardiologist<\/span>\n\n<span style=\"font-weight: 400;\">Cardiac syndrome X is difficult to treat. But a combination of a range of different treatments can help.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Possible treatments include reducing risk factors and bring into face certain lifestyle habits, such as exercises, and refraining from smoking and alcohol.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Certain different medications may also be of help, including:<\/span>\n<ul>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calcium-chemical blockers help lower blood pressure.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Beta-blockers can lower stress on the heart and blood vessels.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angiotensin-converting enzyme (ACE) inhibitors, used for high blood pressure and heart failure.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ranolazine (Ranexa) for chest pain.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Statins are used to reduce the level of cholesterol in the blood.\u00a0<\/span><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">They include:<\/span>\n<ul>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Atorvastatin.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fluvastatin.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pravastatin.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rosuvastatin.<\/span><\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Simvastatin.<\/span><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">Report any serious side effects to your doctor immediately.<\/span>\n\n<strong>CONCLUSION<\/strong>\n\n<span style=\"font-weight: 400;\">Even though the long-term prognosis of cardiac syndrome X does not necessarily include increased mortality, the patient\u2019s quality of life is every time affected and the frequency of cardiovascular and cerebrovascular occurrence is increased.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Aggravated and recurrent angina may also lead to physical discomfort, often hospital readmissions, or even repeat coronary angiography, putting on patient\u2019s huge economic burden. Moreover, patients with CSX show a high measure of anxiety and depression.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Meanwhile, the etiology and pathology of CSX remain unclear, although it is claimed that the disorder is associated with endothelial dysfunction. Yet these claims lack evidence.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">Even the respective curative effects of conventional drugs remain internationally controversial. Without a doubt, more committed and intense research efforts are needed in this area, if the quality of life must be assured.<\/span>\n<h2 class=\"wp-block-heading\" id=\"h-symptoms\">Symptoms<\/h2>\n\n<p>CARDIAC SYNDROME X SYMPTOMS\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">The most common symptoms of cardiac syndrome X include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aches.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Arterial spasms.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tightness.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chest pain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pains in the arms, jaw, neck, or stomach.<\/span><\/li>\n<\/ul>\n<p><strong>RISK FACTORS OF CARDIAC SYNDROME X<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Certain factors may likely make cardiac syndrome X develop. Such factors may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obesity.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Smoking.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mild arthritis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High blood pressure.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High cholesterol level in the blood.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Women during and after menopause.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abnormal pain perception (leading to chest pain).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diabetes mellitus (contributing to endothelial dysfunction).<\/span><\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\" id=\"h-causes\">Causes<\/h2>\n\n<p><strong>CAUSES OF CARDIAC SYNDROME X<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Some mechanisms that have been proposed to result in cardiac syndrome X include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Endothelial dysfunction (MVA).<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">At present, this seems to be the prevailing theory.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abnormal autoimmune control.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Myocardial ischemia.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insulin resistance.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Altered cardiac sensitivity.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Estrogen deficiency.<\/span><\/li>\n<\/ul>\n<p><strong><\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-faq\">FAQ<\/h2>\n\n<p><strong>Is cardiac syndrome X genetic?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">CSX is currently accepted to be a heterogeneous clinical diagnosis that includes genetic, coronary micro-vascular, metabolic, hormonal, and cardiovascular risk factors.<\/span><\/p>\n<p><strong>What are the symptoms of cardiac syndrome X?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">CSX (cardiac syndrome X), a condition characterized by angina-like chest discomfort, ST-segment depression during exercise, and normal coronary epicardial arteries at angiography, has the highest prevalence in post-menopausal women. The most common symptoms of cardiac syndrome X include aches, tightness, chest pain, and pains in the arms, jaw, neck, or stomach.<\/span><\/p>\n<p><strong>What causes cardiac syndrome X?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">CSX is associated with endothelial dysfunction, inflammation, oxidative stress, or estrogen deficiency. The underlying causes may be sudden narrowing (spasm) of normal coronary arteries without any thermal.<\/span><\/p>\n<p><strong>Is there a cure for cardiac syndrome X?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">CSX is treated with lifestyle modification, including diet, exercise, smoking cessation, and weight reduction. A cardiac-prudent diet is advised. Pharmacotherapy may involve the use of anti-anginal agents like beta-blockers (first line of therapy), calcium channel blockers, and nitrates.<\/span><\/p>\n<p><strong>Is micro-vascular angina a heart disease?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">A type of cardiovascular disease known to physicians as microvascular angina affects the heart\u2019s tiniest arteries and causes chest pain. The disease is sneaky in that it does not show up on traditional heart scans but is linked to serious health outcomes, like heart attacks<\/span><\/p>\n<style>\r\n\r\n        .lwrp.link-whisper-related-posts{\r\n            \r\n            margin-top: 40px;\nmargin-bottom: 30px;\r\n        }\r\n        .lwrp .lwrp-title{\r\n            \r\n            \r\n        }\r\n        .lwrp .lwrp-description{\r\n            \r\n            \r\n\r\n        }\r\n        .lwrp .lwrp-list-container{\r\n        }\r\n        .lwrp .lwrp-list-multi-container{\r\n            display: flex;\r\n        }\r\n        .lwrp .lwrp-list-double{\r\n            width: 48%;\r\n        }\r\n        .lwrp .lwrp-list-triple{\r\n            width: 32%;\r\n        }\r\n        .lwrp .lwrp-list-row-container{\r\n            display: flex;\r\n            justify-content: space-between;\r\n        }\r\n        .lwrp .lwrp-list-row-container .lwrp-list-item{\r\n            width: calc(25% - 20px);\r\n        }\r\n        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Cardiac syndrome X is characterized by angina-like chest pain, due to decreased blood flow to the heart, even when the coronary arteries are normal, thereby compelling the heart to work harder.\u00a0 About 20,000 new cases of cardiac syndrome X are reported in the United Kingdom each year, and it is [&hellip;]<\/p>\n","protected":false},"featured_media":6419,"menu_order":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false},"tags":[],"region":[66,85],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.5 (Yoast SEO v22.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cardiac syndrome X\u2013 Causes, Symptoms, Risks, Diagnosis, Treatment<\/title>\n<meta name=\"description\" content=\"Cardiac syndrome X symptoms are characterized by angina-like chest pain, due to decreased blood flow to the heart. 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