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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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
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author Mostafa, Mostafa R.
Najim, Mostafa
Kusnik, Alexander
Sheikha, Mohammad A.
Magdi, Mohamed
Fahmy, Mostafa M.
Shah, Sanjay
Corteville, David C.M.
author_facet Mostafa, Mostafa R.
Najim, Mostafa
Kusnik, Alexander
Sheikha, Mohammad A.
Magdi, Mohamed
Fahmy, Mostafa M.
Shah, Sanjay
Corteville, David C.M.
author_sort Mostafa, Mostafa R.
collection PubMed
description 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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spelling pubmed-105890112023-10-21 Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease Mostafa, Mostafa R. Najim, Mostafa Kusnik, Alexander Sheikha, Mohammad A. Magdi, Mohamed Fahmy, Mostafa M. Shah, Sanjay Corteville, David C.M. J Community Hosp Intern Med Perspect Case Report 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. Greater Baltimore Medical Center 2023-06-29 /pmc/articles/PMC10589011/ /pubmed/37868251 http://dx.doi.org/10.55729/2000-9666.1214 Text en © 2023 Greater Baltimore Medical Center https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ).
spellingShingle Case Report
Mostafa, Mostafa R.
Najim, Mostafa
Kusnik, Alexander
Sheikha, Mohammad A.
Magdi, Mohamed
Fahmy, Mostafa M.
Shah, Sanjay
Corteville, David C.M.
Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease
title Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease
title_full Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease
title_fullStr Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease
title_full_unstemmed Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease
title_short Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease
title_sort syncope as the sole presentation of multi-vessel coronary artery disease
topic Case Report
url 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
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