Acute coronary syndrome with minimal electrocardiographic changes as a manifestation of large, first diagonal branch occlusion
Giszterowicz, D.; Kukla, P.; Korpak-Wysocka, R.; Dudek, D.; Bryniarski, L.
Kardiologia Polska 66(7) 764-768; Discussion: 768-769
2008
ISSN/ISBN: 0022-9032 PMID: 18690569 Document Number: 615652
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.