Key result
Revascularization of a critical left anterior descending artery stenosis resolved recurrent exertional syncope in a young male patient.
Why the study?
Coronary artery disease presenting with syncope is rare despite syncope being a cardinal cardiovascular symptom.
Does revascularization prevent recurrent syncope in a patient with critical LAD stenosis presenting with exertional syncope?
Case Report (n=1)
Does revascularization prevent recurrent syncope in a patient with critical LAD stenosis presenting with exertional syncope?
Coronary artery disease should be considered in the differential diagnosis of exertional syncope, as revascularization can resolve symptoms.
Supports CAD evaluation in young patients with exertional syncope; hypothesis-generating and requires prospective validation before practice change.
Syncope is one of the cardinal symptoms of cardiovascular system, but coronary artery disease (CAD) presenting with syncope is rare. We present a case of a young male who had recurrent exertional syncope. During evaluation, he had polymorphic ventricular tachycardia on exercise stress test, followed by ST segment depression in recovery. Coronary angiogram revealed critical stenosis in left anterior descending artery. Post revascularization syncope did not recur. CAD should always be considered as one of the possibility during evaluation of syncope.
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Pawar et al. (2020) conducted a case report in Coronary artery disease presenting with syncope (n=1). Revascularization was evaluated on Recurrence of syncope. Revascularization of a critical left anterior descending artery stenosis resolved recurrent exertional syncope in a young male patient.
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