To cite: Mahla H, Kabra A, Bhairappa S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013010153 DESCRIPTION A 56-year-old woman presented with 2 days history of anginal chest pain. No risk factors for coronary artery disease, except family history in paternal uncle. Cardiac examination was normal. ECG showed ST segment depression in leads V1–V6. Echocard...

PURPOSE To evaluate the diagnostic performance of left coronary bifurcation angles and plaque characteristics for prediction of coronary stenosis by dual-source CT. METHODS 106 patients suspected of coronary artery disease undergoing both coronary computed tomography angiography (CCTA) and invasive coronary angiography (CAG) within three months were included. Left coronary bifurcation angles ...

Cigarette smoking is a risk factor for development of coronary atherosclerosis. We examined the relationship between smoking and the anatomic location of coronary artery stenosis in 8,705 patients undergoing cardiac catheterization for suspected coronary artery disease (CAD). The smoking history of patients with CAD (greater than or equal to 70 percent stenosis) was compared with that of contro...

BACKGROUND Percutaneous coronary angioplasty (PTCA) and stent implantation have become the first-line intervention for patients with isolated proximal LAD-lesions. Minimally invasive direct coronary artery bypass surgery (MIDCAB) has recently been developed to reduce surgical invasiveness for single LAD revascularization. This study focus on the question whether MIDCAB could be an alternative t...

A 69-year-old woman with hypertension was admitted for an acute coronary syndrome. Emergency coronary angiography showed a long, bifurcated, calcified lesion in the left anterior descending artery (LAD). An interventional procedure was performed by predilations with an expandable and a nonexpandable balloon. Following the last inflation, angiography showed LAD occlusion due to a perforation, wh...

Abstract Background Physiological assessment of intermediate coronary artery lesions to guide therapy is well established. Recently, the use non-hyperaemic pressure ratios (NHPRs) has been suggested as a reliable alternative hyperaemic assessment, such fractional flow reserve (FFR). However certain patient / lesion subsets, including proximal location, young age and non-LAD vessels, have associ...

OBJECTIVE To determine the associations among serum C-reactive protein (CRP) concentration, age, sex, risk factors for coronary heart disease (CHD), and atherosclerosis in young people. METHODS AND RESULTS In 1244 subjects 15 to 34 years of age, we measured gross atherosclerotic lesions in the right coronary artery (RCA) and abdominal aorta (AA) and American Heart Association (AHA) lesion gra...