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    Ostial left main coronary stenosis in a frequent flyer.

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    Authors
    O'Sullivan, John F
    McFadden, Eugene
    Issue Date
    2009-05-15
    MeSH
    Aircraft
    Coronary Angiography
    Coronary Artery Bypass
    Coronary Stenosis
    Humans
    Male
    Middle Aged
    Solar Energy
    Travel
    
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    Citation
    Ostial left main coronary stenosis in a frequent flyer. 2009, 134 (2):e66-7 Int. J. Cardiol.
    Journal
    International journal of cardiology
    URI
    http://hdl.handle.net/10147/201229
    DOI
    10.1016/j.ijcard.2007.12.101
    PubMed ID
    18378023
    Abstract
    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
    Article
    Language
    en
    ISSN
    1874-1754
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ijcard.2007.12.101
    Scopus Count
    Collections
    Cork University Hospital

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