Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease

Defining the etiology of syncope can be occasionally challenging. We present a case with no history of coronary artery disease (CAD) who presented exclusively with exertional syncope, and was found to have mildly reduced left ventricular systolic dysfunction on echocardiogram and severe multi-vessel...

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Detalles Bibliográficos
Autores principales: Mostafa, Mostafa R., Najim, Mostafa, Kusnik, Alexander, Sheikha, Mohammad A., Magdi, Mohamed, Fahmy, Mostafa M., Shah, Sanjay, Corteville, David C.M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Greater Baltimore Medical Center 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589011/
https://www.ncbi.nlm.nih.gov/pubmed/37868251
http://dx.doi.org/10.55729/2000-9666.1214
Descripción
Sumario:Defining the etiology of syncope can be occasionally challenging. We present a case with no history of coronary artery disease (CAD) who presented exclusively with exertional syncope, and was found to have mildly reduced left ventricular systolic dysfunction on echocardiogram and severe multi-vessel CAD with chronic total occlusion (CTO) of the right coronary artery (RCA). Syncope as the initial presentation of advanced CAD in the absence of classic ischemic symptoms is rather an uncommon presentation in clinical practice.

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