Left main coronary artery vasospasm: A case report of misdiagnosed severe coronary artery disease.

ABSTRACT:

Introduction and importance

Left main coronary artery (LMCA) vasospasm is rare and can cause demand-supply mismatch that can mimic coronary artery disease (CAD). This could lead to misdiagnosis and inappropriate referral for surgical intervention.

Case presentation

A 55-year-old woman with no cardiac risk factors presented with anginal chest pain. Vital signs were stable and physical exam was unremarkable. Chest x-ray was normal and electrocardiography (ECG) revealed sinus bradycardia with nonspecific ST-segment and T-wave changes in the inferolateral leads present on prior ECGs. Echocardiography revealed a left ventricular ejection fraction of 60-65% without regional wall motion abnormalities and cardiac troponin was within normal limits. Nuclear stress test was unsuccessfu

SUBMITTER: Ismayl M 

PROVIDER: S-EPMC9111888 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature