Hdl Handle:
http://hdl.handle.net/10675.2/316431
Title:
Anomalous coronary artery found in the syncopal workup of an elderly man
Authors:
Oommen, Ronnie; Wilkins, Thad; Chen, Stephen Y; Arora, Vishal
Abstract:
Syncope, defined as a transient loss of consciousness, is seen in 1% of all visits to emergency departments and urgent care clinics in the United States. Syncope is categorized as cardiogenic, neurologic, or psychogenic. Anomalies of the coronary arteries are rare, and anomalous coronary arteries present as syncope more often in the young than in the elderly; syncope rarely occurs in patients 65 years of age and older. There are 2 major variants of coronary anomalies. In the first variant, the left main coronary artery arises from the right aortic sinus. In the second variant, the right coronary artery arises from the left aortic sinus. The risk of sudden death is higher in patients with the left coronary artery arising from the right aortic sinus. We present a case of an anomalous coronary artery discovered during the syncopal workup in a 66-year-old man because no such cases have been published in the United States. We will discuss the management of anomalous coronary arteries as well as a systematic approach to the diagnosis and management of syncope.
Affiliation:
Department of Family Medicine; Department of Medicine; Department of Cardiology
Citation:
Anomalous coronary artery found in the syncopal workup of an elderly man., 25 (4):541-6 J Am Board Fam Med
Journal:
Journal of the American Board of Family Medicine : JABFM
Issue Date:
Jul-2012
URI:
http://hdl.handle.net/10675.2/316431
DOI:
10.3122/jabfm.2012.04.110319
PubMed ID:
22773724
Type:
Article
Language:
en
ISSN:
1557-2625
Appears in Collections:
Division of Cardiology: Faculty Research and Publications; Department of Family Medicine: Faculty Research and Presentations; Department of Medicine Faculty: Research and Presentations

Full metadata record

DC FieldValue Language
dc.contributor.authorOommen, Ronnieen
dc.contributor.authorWilkins, Thaden
dc.contributor.authorChen, Stephen Yen
dc.contributor.authorArora, Vishalen
dc.date.accessioned2014-05-01T19:13:32Z-
dc.date.available2014-05-01T19:13:32Z-
dc.date.issued2012-07-
dc.identifier.citationAnomalous coronary artery found in the syncopal workup of an elderly man., 25 (4):541-6 J Am Board Fam Meden
dc.identifier.issn1557-2625-
dc.identifier.pmid22773724-
dc.identifier.doi10.3122/jabfm.2012.04.110319-
dc.identifier.urihttp://hdl.handle.net/10675.2/316431-
dc.description.abstractSyncope, defined as a transient loss of consciousness, is seen in 1% of all visits to emergency departments and urgent care clinics in the United States. Syncope is categorized as cardiogenic, neurologic, or psychogenic. Anomalies of the coronary arteries are rare, and anomalous coronary arteries present as syncope more often in the young than in the elderly; syncope rarely occurs in patients 65 years of age and older. There are 2 major variants of coronary anomalies. In the first variant, the left main coronary artery arises from the right aortic sinus. In the second variant, the right coronary artery arises from the left aortic sinus. The risk of sudden death is higher in patients with the left coronary artery arising from the right aortic sinus. We present a case of an anomalous coronary artery discovered during the syncopal workup in a 66-year-old man because no such cases have been published in the United States. We will discuss the management of anomalous coronary arteries as well as a systematic approach to the diagnosis and management of syncope.en
dc.language.isoenen
dc.rightsArchived with thanks to Journal of the American Board of Family Medicine : JABFMen
dc.subjectSyncopeen
dc.subjectAnomalous Coronary Arteriesen
dc.subjectCase Reportsen
dc.subjectElderlyen
dc.subject.meshAged-
dc.subject.meshCoronary Vessel Anomalies-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshSyncope-
dc.titleAnomalous coronary artery found in the syncopal workup of an elderly manen
dc.typeArticleen
dc.contributor.departmentDepartment of Family Medicineen
dc.contributor.departmentDepartment of Medicine-
dc.contributor.departmentDepartment of Cardiology-
dc.identifier.journalJournal of the American Board of Family Medicine : JABFMen
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