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Strenuous Exercise Induced Syncope Due to Coronary Artery Anomaly

AUTHORS

Veysel Yavuz 1 , Nurulah Cetin 2 , * , Esref Tuncer 3 , Onur Dalgic 4 , Ugur Taskin 5 , Ali Riza Bilge 5 , Hakan Tikiz 5

AUTHORS INFORMATION

1 Cardiology Department, Akhisar State Hospital, Manisa, Turkey

2 Cardiology Department, Ercis State Hospital, Van, Turkey

3 Cardiology Department, Central Hospital, Izmir, Turkey

4 Cardiology Department, Turkan Ozilhan State Hospital, Izmir, Turkey

5 Cardiology Department, Celal Bayar University, Manisa, Turkey

How to Cite: Yavuz V , Cetin N , Tuncer E , Dalgic O , Taskin U , et al. Strenuous Exercise Induced Syncope Due to Coronary Artery Anomaly, Int Cardio Res J. 2017 ; 8(3):e11105.

ARTICLE INFORMATION

International Cardiovascular Research Journal: 8 (3); e11105
Published Online: September 30, 2014
Article Type: Case Report
Received: February 21, 2017
Accepted: February 16, 2014

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Abstract

Coronary artery anomalies are among the neglected topics in cardiology. Anomalous origin of the left main coronary artery from the right sinus of valsalva is a rare coronary anomaly observed in 0.15% of patients. During exercise, the distended aorta and pulmonary artery with increased blood flow may squeeze the Left Main Coronary Artery (LMCA) between them. Even though arrhythmias are common causes of syncope, one should also think about aberrant coronary artery in the patients with syncope of unexplained origin. Patients experiencing exercise induced syncope accompanied by symptoms of coronary ischemia (typically: chest pain, ischemic findings on ECG, and raised cardiac markers) should be referred to diagnostic coronary angiography.

Keywords

Syncope Coronary Anomaly Coronary Angiography

© 0, Shiraz University of Medical Sciences.

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