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Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

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Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
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Acute Coronary Syndrome I: Introduction01:30

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Coronary arteritis: a case series.

Shinnosuke Kikuchi1, Kozo Okada1, Kiyoshi Hibi1

  • 1Division of Cardiology, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama 232-0024, Japan.

European Heart Journal. Case Reports
|May 1, 2020
PubMed
Summary

Early diagnosis of coronary arteritis (CA) significantly improves patient outcomes. Timely identification and treatment strategies are crucial for managing CA and preventing recurrent acute coronary syndrome (ACS).

Keywords:
Case seriesCoronary arteritisCoronary computed tomography angiographyIntracoronary imagingTakayasu arteritisUnclassified arteritis

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Area of Science:

  • Cardiology
  • Vascular Medicine
  • Rheumatology

Background:

  • Coronary arteritis (CA) presents diagnostic challenges, impacting clinical course.
  • Two cases illustrate the critical difference between early and late CA diagnosis.

Purpose of the Study:

  • To highlight the impact of diagnostic timing on coronary arteritis outcomes.
  • To emphasize the role of intravascular imaging in CA management.

Main Methods:

  • Comparative case study of two patients with coronary arteritis.
  • Utilized intravascular imaging to assess arterial wall inflammation.
  • Correlated diagnostic timing with clinical outcomes and treatment strategies.

Main Results:

  • Delayed CA diagnosis in Case 1 led to recurrent acute coronary syndrome (ACS) and revascularization failures.
  • Early CA diagnosis in Case 2, followed by anti-inflammatory treatment and revascularization, resulted in sustained angina-free survival.
  • Intravascular imaging revealed specific inflammatory findings in both CA cases.

Conclusions:

  • Accurate and early diagnosis of coronary arteritis is vital for favorable clinical outcomes.
  • Meticulous diagnostic and therapeutic strategies are essential for managing CA.
  • Intravascular imaging aids in optimizing clinical management of coronary arteritis.