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Syncope as the Sole Presentation of Multi-Vessel Coronary Artery Disease
Mostafa R Mostafa1, Mostafa Najim1, Alexander Kusnik1
1Department of Medicine, Rochester Regional Health/Unity Hospital, Rochester, NY, USA.
Insights
Exertional syncope, or fainting during exercise, can signal advanced coronary artery disease (CAD). This case highlights severe CAD presenting solely as fainting, even without typical chest pain.
Area of Science:
- Cardiology
- Clinical Case Reports
- Diagnostic Challenges
Background:
- Syncope diagnosis can be complex.
- Coronary artery disease (CAD) is a common condition.
- Exertional syncope is a concerning symptom.
Abstract:
Defining the etiology of syncope can be occasionally challenging. We present a case with no history of coronary artery disease (CAD) who presented exclusively with exertional syncope, and was found to have mildly reduced left ventricular systolic dysfunction on echocardiogram and severe multi-vessel CAD with chronic total occlusion (CTO) of the right coronary artery (RCA). Syncope as the initial presentation of advanced CAD in the absence of classic ischemic symptoms is rather an uncommon presentation in clinical practice.
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