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A young soldier with syncope, shortness of breath and palpitations

Zorica Mladenovic, Zdravko Mijailovic, Dragan Tavciovski, Radoje Ilic, Sinisa Rusovic, Zoran Trifunovic, Radomir Matunovic
2010 Vojnosanitetski Pregled  
Introduction. Coronary artery disease in people under 30 years is relatively uncommon, but once a disease occurs it brings a significant morbidity and psychological effects. Case report. We reported a 28-year-old patient presenting atypical symptoms after sincopa and non-specific changes on electrocardiogram at admission. After noninvasive and invasive cardiology diagnostic procedures were made, we concluded that he had a subtotal tubular stenosis in proximal segment of the left anterior
more » ... eft anterior descending coronary artery. Myocardial revascularization was successfully performed 24-hour after coronarography with the left internal mammary thoracic artery graft on the left anterior descending coronary artery and the patient had a prompt and satisfactory postoperative recovery. Conclusion. This case indicates the importance of a careful evaluation of young adults even if they do not experience typical anginal symptoms or do not have multiple risk factors for cardiovascular diseases. Uvod. Koronarna bolest je relativno retka kod bolesnika mlađih od 30 godina, ali za obolele iz ove starosne grupe nosi značajan morbiditet i psihosocijalne posledice. Prikaz bolesnika. Bolesnik, star 28 godina obratio se lekaru sa atipičnom simptomatologijom i nespecifičnim promenama u elektrokardiogramu. Nakon sprovedene neinvazivne i invazivne kardiološke dijagnostike zaključeno je da ima suptotalnu tubularnu stenozu prokismalnog segmenta prednje descedentne koronarne arterije. Potom, izvršena je hiruška revaskularzacija miokarda graftom arterije mamarije interne na prednju descedentnu koronarnu arteriju, sa brzim i zadovoljavajućim postoperativnim oporavkom. Zaključak. Prikaz bolesnika ukazuje na značaj detaljne procene mladih bolesnika čak i ukoliko nemaju tipične anginozne tegobe i ne poseduju multiple rizike od kardiovaskularnih oboljenja. Ključne reči: koronarna bolest; odrasle osobe; životno doba, faktori; dijagnoza, diferencijalna; miokard, revaskularizacija; lečenje, ishod.
doi:10.2298/vsp1008681m pmid:20845673 fatcat:dzpllxcsjzdpnbrgy23isdtpmu