Noncompaction cardiomyopathy and multiple coronary-cameral fistulae in an octogenarian.

ABSTRACT: An 85-year-old man was admitted to the emergency department with chest pain. His electrocardiogram showed a right bundle branch block as well as increased voltages suggesting left ventricular hypertrophy and t-wave inversions consistent with a strain pattern (versus ischemia). He underwent echocardiography which showed regional noncompaction and associated hypokinesis. These findings led to coronary angiography which revealed multiple coronary-cameral fistulae involving all three coronary arteries. He was initially treated for acute coronary syndrome but after his diagnostic procedures this was narrowed to a beta blocker, to reduce myocardial oxygen demand, and an angiotensin-converting enzyme inhibitor due to the cardiomyopathy. Although the fistulae may have caused the patient's chest pa

SUBMITTER: Chen MA 

PROVIDER: S-EPMC7283295 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature