title: [Acute coronary syndrome with minimal electrocardiographic changes as a manifestation of large, first diagonal branch occlusion].
abstract: 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.
authors.affiliation: II Klinika Kardiologii, Instytut Kardiologii, CM, Uniwersytet Jagielloński, Kraków. dgiszterowicz@yahoo.com
authors.forename: Dawid
authors.initials: D
authors.lastname: Giszterowicz
authors.forename: Piotr
authors.initials: P
authors.lastname: Kukla
authors.forename: Renata
authors.initials: R
authors.lastname: Korpak-Wysocka
authors.forename: Dariusz
authors.initials: D
authors.lastname: Dudek
authors.forename: Leszek
authors.initials: L
authors.lastname: Bryniarski
mesh_terms: 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