title: Scuba diving, acute left anterior descending artery occlusion and normal ECG.
abstract: We report the case of an acute proximal occlusion of the left anterior descending coronary (LAD) artery following a scuba diving decompression accident and associated with normal ECG. Following uneventful thromboaspiration and coronary stenting, the patient was discharged on day 4 with secondary preventative therapies. A transthoracic echocardiography performed at this point showed a complete recovery compared with an initial localised akinesia involving the anterior and apical portion of the left ventricle upon admission. This case highlights that significant acute coronary lesions involving the LAD can occur without any ECG anomaly. The presence of acute and persistent angina associated with troponin elevation should prompt physicians to consider coronary angiography without delay, independently of the ECG results.
authors: Adult Intensive Care, Geneva Teaching Hospital (HUG), Geneva, Switzerland. sebastien.doll@hcuge.ch
authors: Sébastien Xavier
authors: SX
authors: Doll
authors: Fabio
authors: F
authors: Rigamonti
authors: Marco
authors: M
authors: Roffi
authors: Stéphane
authors: S
authors: Noble
mesh_terms: D002637:Chest Pain / Q000209:etiology; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology; D003665:Decompression Sickness / Q000150:complications / Q000175:diagnosis*; D004242:Diving / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D017131:Thrombectomy
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