Fast Five Quiz: Can You Recognize Subtle and Surprising Signs of Heart Conditions?

Yasmine S. Ali, MD, MSci

Disclosures

July 11, 2017

Xanthelasmas, livedo reticularis, or both may be noted. An S4 gallop is a common early finding. The presence of an S3 sound is an indication of reduced LV function. Heart murmurs, particularly those of mitral regurgitation and ventricular septal defect, may be found after the initial presentation; their presence indicates a grave prognosis. The murmur of aortic insufficiency may signal aortic dissection as a primary etiology, with or without the complication of acute MI.

Angina pectoris is exacerbated by exertion and relieved by rest or nitrate therapy. Unstable angina pectoris describes a pattern of increasing frequency or intensity of episodes of angina pectoris and includes pain at rest. A prolonged episode of angina pectoris that may be associated with diaphoresis is suggestive of MI.

For more on the presentation of coronary artery atherosclerosis, read here.

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