[Acute coronary syndrome with minimal electrocardiographic changes as a manifestation of large, first diagonal branch occlusion].
A case of a 61-year-old patient with acute coronary syndrome (ACS) and minimal ECG changes is presented. The patient was admitted to a community hospital, where non-ST-segment elevation ACS was diagnosed. He was given standard pharmacotherapy and was transferred very early to an invasive facility, where coronarography and percutaneous coronary intervention of the large diagonal branch were performed. We stress the importance of non-invasive assessment with ECG and echocardiography, in addition to coronary angiography, for diagnosis and treatment decisions in complex cases.
Giszterowicz
Dawid
D
II Klinika Kardiologii, Instytut Kardiologii, CM, Uniwersytet Jagielloński, Kraków. dgiszterowicz@yahoo.com
Kukla
Piotr
P
Korpak-Wysocka
Renata
R
Dudek
Dariusz
D
Bryniarski
Leszek
L
D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000209:etiology*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications* / Q000175:diagnosis*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged