Key result
A 42-year-old man presenting with vague pain and subtle ECG changes collapsed and was successfully treated with provisional stenting for distal left main disease.
Why the study?
Careful analysis of subtle ECG changes can be life-saving in patients presenting with vague symptoms.
Case Report (n=1)
Subtle ECG changes in patients with vague symptoms can be the only early sign of critical left main coronary artery disease.
Subtle ECG changes in vague symptoms merit vigilance for left main disease; single case leaves generalizability and typicality open.
ECG is one of the primary and most informative bedside tools for the cardiologist, even in the present era. Careful analysis of ECG changes (sometimes subtle) can be life-saving, such as in the case we are presenting now. A 42-year-old gentleman with no obvious coronary risk factors presented with vague pain and subtle ECG changes (outside physician passed off as usual). He was asked to consult a cardiologist. While awaiting outpatient consultation, he collapsed. The patient was resuscitated and coronary angiogram was immediately done, which showed distal left main disease. Successful intervention was carried out with the help of provisional stent strategy, and the patient was discharged safely.
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Sharnagat et al. (2021) conducted a case report in Distal left main disease (n=1). Coronary angiogram and provisional stenting was evaluated on Clinical outcome. A 42-year-old man presenting with vague pain and subtle ECG changes collapsed and was successfully treated with provisional stenting for distal left main disease.
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