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dc.contributor.authorOommen, Ronnie
dc.contributor.authorWilkins, Thad
dc.contributor.authorChen, Stephen Y
dc.contributor.authorArora, Vishal
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.
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
refterms.dateFOA2019-04-09T19:24:10Z
html.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.


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