A 45-year old man with recurrent syncope: an unusual presentation of coronary artery disease

  • Abiodun Moshood Adeoye
  • Aina Nnodim Adekunle
  • Adewole Adesoji Adebiyi
  • Ajit Mullassari
  • Subban Vijayakumar
  • Chibuike Eze Nwafor

Abstract

A 45-year old normotensive, euglycaemic, non-smoker was referred from a peripheral hospital to the Cardiology unit of the University College Hospital, Nigeria for evaluation of recurrent exercise induced syncope. Initial 12-lead electrocardiogram (ECG), 24-hr ambulatory ECG, transthoracic echocardiogram and electroencephalogram (EEG) were normal. A repeat episode of syncope warranted further investigation. Immediate post syncope ECG showed deeply inverted symmetrical T waves in the anterior leads. He underwent coronary angiogram which revealed distal left main disease and 70-80% stenosis of the proximal Left Anterior Descending Artery (LAD). The Circumflex artery was non dominant with normal Right Coronary artery. He subsequently had Percutaneous Transluminal Coronary Angioplasty (PTCA) of the LAD. Post-revascularisation course has been satisfactory with no recurrence of syncope. In view of the rising trend of cardiac death in the country, there is the need for high index of suspicion in making diagnosis of coronary artery disease in patients with syncope.

Pan African Medical Journal 2013; 14: 71

Author Biographies

Abiodun Moshood Adeoye
Cardiology Unit, Department of Medicine, University College Hospital, Ibadan Nigeria; Department of Medicine, College of Medicine, University of Ibadan, Nigeria
Aina Nnodim Adekunle
Cardiology Unit, Department of Medicine, University College Hospital, Ibadan Nigeria
Adewole Adesoji Adebiyi
Cardiology Unit, Department of Medicine, University College Hospital, Ibadan Nigeria; Department of Medicine, College of Medicine, University of Ibadan, Nigeria
Ajit Mullassari
Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai India
Subban Vijayakumar
Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai India
Chibuike Eze Nwafor
Cardiology Unit, Department of Medicine, University College Hospital, Ibadan Nigeria
Published
2013-05-04
Section
Articles

Journal Identifiers


eISSN: 1937-8688