ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
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Coronary microvascular dysfunction equivalent to left main coronary artery disease [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2017; 45(3): 278-280 | DOI: 10.5543/tkda.2016.02317

Coronary microvascular dysfunction equivalent to left main coronary artery disease

Cafer Panç1, Mehmet Kocaağa2, Onur Erdoğan1, Remzi Sarıkaya1, Sabahattin Umman1
1Department Of Cardiology, Istanbul University,ıstanbul Faculty Of Medicine, Istanbul, Turkey
2Department of Cardiology, Yalova State Hospital, Yalova

Coronary microvascular dysfunction, also known as cardiac syndrome X, is a clinical syndrome presenting with typical angina and evidence of myocardial ischemia in the absence of flow-limiting stenosis on coronary angiography. Of patients undergoing coronary angiography due to suspected myocardial ischemia, 50% are found to have normal or near-normal coronary arteries. Described in this case report is a patient who developed hypotension and ST segment depressions during treadmill exercise test. Left main coronary artery or multivessel disease was suspected. Coronary angiography was normal, but coronary flow reserve measurement revealed severe microvascular dysfunction.

Keywords: Coronary flow reserve, coronary microvascular dysfunc- tion, normal coronary arteries.









How to cite this article
Cafer Panç, Mehmet Kocaağa, Onur Erdoğan, Remzi Sarıkaya, Sabahattin Umman. Coronary microvascular dysfunction equivalent to left main coronary artery disease. Turk Kardiyol Dern Ars. 2017; 45(3): 278-280

Corresponding Author: Cafer Panç, Türkiye
Manuscript Language: English


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