FISDAP Cardiology Practice Test

Acute coronary syndrome (ACS) refers to a range of conditions associated with sudden, reduced blood flow to the heart, including unstable angina and myocardial infarction. In patients with diabetes, several factors can contribute to the development of ACS, particularly due to the increased risk of cardiovascular disease. Diabetes often leads to the accumulation of atherosclerotic plaques in the coronary arteries, which can obstruct blood flow. Additionally, diabetes can cause autonomic neuropathy, leading to atypical symptoms of ischemia and contributing to syncopal episodes.

Given that the question pertains to what can cause ACS in a diabetic patient who is experiencing syncopal episodes, the presence of acute coronary syndrome itself as a choice reflects the direct consequence of the underlying cardiovascular issues often seen in diabetic patients. It acknowledges that the syncopal episodes might be related to cardiac ischemia due to the compromised coronary circulation, illustrating a direct causal relationship.

While septic shock, a hyperglycemic crisis, and cardiac tamponade may be critical situations that affect blood flow and overall health, they do not specifically imply or directly cause acute coronary syndrome as a primary condition in a manner that is commonly seen with diabetic patients. Instead, acute coronary syndrome is a legitimate diagnosis that can manifest due to the underlying conditions affected