Inordinately Sluggish Coronary Artery Flow in an Angiographically Normal Coronary Artery
DOI:
https://doi.org/10.2015/hc.v5i4.248Abstract
A 53-year-old male smoker, without any significant medical history was admitted via the emergency room to the cardiac care unit due to a single episode of unstable angina lasting for approximately 10 minutes. Over the last one year he admits to symptoms indicative of CCS class II effort angina. He had a positive exercise stress test a year earlier. On admission no ischemic ECG changes were noted. Cardiac enzymes were normal. Coronary angiography, performed the next day, revealed no significant atherosclerotic lesions, however an impressively sluggish flow was observed in the left anterior descending (LAD) coronary artery. The patient was discharged home the following day on full antianginal regimen, including aspirin, clopidogrel, nitrates, β-blocker and statin. At three months later the patient has remained free of symptoms.Downloads
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