Rapid progression of coronary artery stenosis revealed by stress echocardiography
| Autor: | Antoine Guedes, Erwin Schroeder, Mariana Floria |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Anterior Descending Coronary Artery Coronary Angiography Chest pain Angina Risk Factors Torsades de Pointes Internal medicine Angioplasty medicine Palpitations Stress Echocardiography Humans Angioplasty Balloon Coronary Coronary atherosclerosis business.industry Coronary Stenosis General Medicine Middle Aged medicine.disease Stenosis Disease Progression Electrocardiography Ambulatory Cardiology Female Stents Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Echocardiography Stress |
| Zdroj: | Acta Cardiologica. 68:216-218 |
| ISSN: | 0373-7934 0001-5385 |
| Popis: | We present the case of a patient with initially insignificant coronary atherosclerosis with rapid progression revealed by dobutamine stress echocardiography, despite the absence of a major risk factor. A 61-year-old woman, complaining of chest pain, palpitations and dyspnoea on exertion, was referred to our department for outpatient assessment. Coronary angiography performed two months earlier revealed an insignificant stenosis of the proximal left anterior descending coronary artery. Holter monitoring revealed malignant ventricular arrhythmias during angina episodes. The results of maximal treadmill exercise testing were negative, but those of the dobutamine stress echocardiography were positive. The angiographic re-evaluation revealed a rapid progression of stenosis of the proximal left anterior descending coronary artery. Percutaneous coronary angioplasty with stenting was successfully performed. The outcome of patients with insignificant angiographic stenosis and no major risk factor is not necessarily favorable. Therefore, these patients should receive intensive therapy for the management of risk factors and careful clinical monitoring, including dobutamine stress echocar-diography. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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