The “spastic” coronary plaque: dynamic deformation of an atheromatous plaque demonstrated by optical coherence tomography
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A 65-year-old female suffering from dyspnea and chest pain—that occurred primarily during exercise (but sometimes also at rest) for a few months—presented to our hospital for further invasive work-up by coronary angiography. During an exercise treadmill test (performed in an outpatient setting) the aforementioned symptoms were reproduced, however, without any significant ST/T-wave abnormalities. She had a positive family history for presence of coronary artery disease (CAD) and was on anti-hypertensive medication for a few years. She was in a quite good general condition and her physical examination was unremarkable. Blood analysis revealed normal cardiac enzymes and brain natriuretic peptide (BNP) values. Her resting ECG demonstrated sinus rhythm without any repolarization abnormalities.
KeywordsOptical Coherence Tomography Left Anterior Descend Brain Natriuretic Peptide Left Coronary Artery Coronary Plaque
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