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Issue Date
2009-05-15MeSH
AircraftCoronary Angiography
Coronary Artery Bypass
Coronary Stenosis
Humans
Male
Middle Aged
Solar Energy
Travel
Metadata
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Ostial left main coronary stenosis in a frequent flyer. 2009, 134 (2):e66-7 Int. J. Cardiol.Journal
International journal of cardiologyDOI
10.1016/j.ijcard.2007.12.101PubMed ID
18378023Abstract
A 52 year old gentleman presented with chest pain, after a long distance flight from India; he had made long haul flights every 2 weeks over the last 5 years as part of his job. His ECG revealed T wave inversion in leads V1-3. Cardiac biomarkers including troponin were negative; we proceeded to exercise stress testing (EST). This revealed 2 mm ST depression at 2 min of the standard Bruce protocol, associated with chest pain. He was taken immediately to the coronary catheterization laboratory; engagement of the left main caused pressure damping with 6 French, then 5 French diagnostic Judkins left 4 catheters. An ostial left main stenosis was seen; the right and left coronary trees otherwise had no significant stenoses. He had normal LV function. He underwent inpatient CABG 7 days later.Item Type
ArticleLanguage
enISSN
1874-1754ae974a485f413a2113503eed53cd6c53
10.1016/j.ijcard.2007.12.101