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Sequential Acute Coronary Syndrome 4 Days Apart: A Missed Opportunity?

Year: 2017

Type: article

Abstract: coronary occlusion of a previously identified mildly stenotic plaque only 3 days prior, providing a frank illustration of the limitations of coronary angiography to identify highrisk plaque phenotypes.A 73-year-old dyslipidemic, non-diabetic man was admitted to hospital complaining of progressively worsening chest pain associated with dyspnea while walking his dog over the past 3 weeks.He was an ex-smoker with a history of stage IA gastric cancer currently in remission, treated with local endoscopic control 4 months earlier.Electrocardiography showed terminal T-wave inversions in leads V5 and V6, and on laboratory testing the cardiac enzymes were negative.Based on clinical presentation, he was diagnosed with unstable angina (UA), and treated

Source: Circulation Journal

DOI: 10.1253/circj.cj-16-1120