QuestionSBA
QuestionChoice
This is incorrect. Female sex is associated with a relatively lower risk of coronary artery disease compared to males.
10025932
c
Sex
QuestionChoice
This is incorrect. Osteoarthritis is not directly related to an individual's risk of coronary artery disease.
10025933
d
Osteoarthritis
QuestionChoice
This is incorrect. Although ethnicity is related to an individual's risk of developing coronary artery disease, those of Caucasian origin are at a relatively lower risk. Being of South Asian descent is a known risk factor.
10025934
e
Ethnicity
QuestionChoice
This is correct. This vignette is typical of a non-ST elevation myocardial infarction. Hypertension leads to atherosclerosis which can either lead to thrombus or ischaemia through reduced blood flow through the coronary arteries.
10025930
a
Hypertension
QuestionChoice
This is incorrect. Although drinking alcohol significantly above recommended limits can increase the risk of coronary artery disease, drinking 1-2 glasses of wine a week is not a risk factor.
10025931
b
Alcohol intake
Concept
Chapter
2693
3713
Myocardial infarction and Acute Coronary Syndrome (ACS)
Topic
134
Cardiology
17584
A 55 year old Caucasian female presents to A&E with sudden onset crushing chest pain that radiates down her left arm. She has never smoked, drinks 1-2 glasses of wine at weekends and has a past medical history of osteoarthritis and hypertension. She has a BMI of 24.9kg/m2.


An ECG shows inferior ST-elevation, while a high-sensitivity troponin I assay yields a level of 35ng/litre (<11.6ng/litre).


Which of the following is a risk factor for the patient's presentation?
a