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An Unexpected Factor to Wellens Syndrome.
Billal Mohmand1, Abeeha Naqvi2, Anojan Pathmanathan3
1Medicine, Upstate University Hospital, Syracuse, USA.
Factor V Leiden deficiency, a common inherited thrombophilia, may increase arterial thromboembolism risk. This case study highlights a patient with severe coronary artery disease and Factor V Leiden deficiency, suggesting a potential link needing further research.
Area of Science:
- Cardiology
- Genetics
- Hematology
Background:
- Factor V Leiden deficiency is the most common inherited thrombophilia.
- It is an autosomal dominant condition with incomplete penetrance.
- Its association with arterial thromboembolism is debated, with conflicting evidence regarding coronary artery disease and stroke risk.
Observation:
- A 53-year-old male presented with Wellens syndrome.
- He had a history of heterozygous factor V Leiden deficiency and no other identified risk factors for cardiovascular disease.
- Coronary angiography revealed a total occlusion of the proximal left anterior descending artery.
Findings:
- The patient required coronary artery bypass grafting due to advanced coronary artery disease.
- Laboratory tests excluded other known risk factors.
- This case presents a potential association between factor V Leiden deficiency and severe atherosclerosis.
Implications:
- This case underscores a potential link between factor V Leiden deficiency and arterial thromboembolism, specifically severe coronary artery disease.
- Further research is warranted to clarify the association between factor V Leiden deficiency and atherosclerosis.
- Understanding this link may inform risk stratification and management strategies for affected individuals.
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