Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease

Authors

Mostafa R. Mostafa, Rochester Regional HealthFollow
Mostafa Najim, Rochester Regional HealthFollow
Alexander Kusnik, Rochester Regional HealthFollow
Mohammad A. Sheikha, Rochester Regional HealthFollow
Mohamed Magdi Eid, Rochester Regional HealthFollow
Mostafa M. Fahmy, Department of Medicine, Creighton University School of Medicine, Omaha, NE, USA.
Sanjay Shah, Rochester Regional HealthFollow
David C. Corteville, Rochester Regional HealthFollow

Department

Medicine

Additional Department

Cardiology

Document Type

Article

Publication Title

Journal of Community Hospital Internal Medicine Perspectives

Abstract

Defining the etiology of syncope can be occasionally challenging. We present a case with no history of coronary artery disease (CAD) who presented exclusively with exertional syncope, and was found to have mildly reduced left ventricular systolic dysfunction on echocardiogram and severe multi-vessel CAD with chronic total occlusion (CTO) of the right coronary artery (RCA). Syncope as the initial presentation of advanced CAD in the absence of classic ischemic symptoms is rather an uncommon presentation in clinical practice.

First Page

9

Last Page

12

DOI

10.55729/2000-9666.1214

Volume

13

Issue

4

Publication Date

6-2023

PubMed ID

37868251

Recommended Citation

Mostafa, M. R., Najim, M., Kusnik, A., Sheikha, M. A., Eid, M. M., Fahmy, M. M., Shah, S., & Corteville, D. C. (2023). Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease. Journal of Community Hospital Internal Medicine Perspectives, 13 (4), 9-12. https://doi.org/10.55729/2000-9666.1214