engleski

Coronary artery disease: A case report

Introduction: Coronary artery disease (CAD), also known as coronary heart disease (CHD) or ischemic heart disease (IHD), involves the reduction of blood flow to heart muscle due to build-up of plaque in the arteries of the heart. It is the most common of the cardiovascular diseases. Types include stable angina, unstable angina, myocardial infarction and sudden cardiac death. Case report: We report a case of a 60-year-old woman, who was taken to the accident and emergency room. For two months she had been experiencing a severe chest pain during physical effort. In time, ailments progressed and eventually her symptoms started to occur even in contact with the cold air. The pain subsides when she rests. She did not have any respiratory problems nor any signs of dyspnea. She had multiple risk factors for coronary disease such as unregulated hypertension and hyperlipidemia, also her family's medical history was positive to cardiovascular diseases. Earlier this year she has developed hypertensive crisis that caused subarachnoid bleeding. In her reports, chest X-ray was clean and there were no signs of ischemia on ECG. Cardioselective enzymes were within reference interval, but because of her significant anamnesis we suspected coronary artery disease. Echocardiography has been made, which was clean with an estimated 64% ejection fraction. Coronarography showed significant stenosis of LAD. She got 2 stents and therapy for her coronary disease was prescribed. Conclusion: Regardless of today's technology techniques which are very specific in discovery of coronary diseases, such as ECG, echocardiography, X-ray and laboratory reports, the rule of taking anamnesis is equally important in recognition of coronary disease and its future treatment.

Coronary artery disease, coronarography, LAD

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