Effort Angina and Advanced Coronary Artery Disease: A Case Report
Author Information
Author(s): Domenico M Zardi, Enrico M Zardi, Andreas Berni, Christiana Nannini, Biagio Andrea Pace, Stefano Santucci, Massimo Volpe
Primary Institution: University of Rome 'La Sapienza', Sant'Andrea Hospital, Rome, Italy
Conclusion
This case illustrates that coronary angiography may not always accurately depict coronary artery stenosis, while cardiac CT and IVUS can provide clearer diagnoses.
Supporting Evidence
- Coronary angiography showed only moderate stenosis, while cardiac CT and IVUS revealed severe stenosis.
- IVUS provided detailed information about plaque composition and stent deployment.
- The patient experienced recurrent ischemia despite initial treatment.
Takeaway
A man with chest pain had tests that showed his heart arteries were blocked, but one test missed it. Other tests found the problem and helped fix it.
Methodology
The case involved coronary angiography, cardiac CT, and IVUS to assess coronary artery disease.
Potential Biases
Potential risks of bias due to the subjective interpretation of imaging results.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 62-year-old male smoker with a history of hypertension and hyperlipidemia.
Digital Object Identifier (DOI)
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