Coronary Anomaly and CAF as Cause of Angina Pectoris
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Case Report
A 46-year old, lady with past medical history significant for dyslipidemia and gastroesophageal reflux presents to her primary care physician with complaint of chest pain. Pain is described as 8/10, retrosternal, compressive pain, radiating to her neck bilaterally, intermittent in nature, and lasting for nine months. Patient mainly complained of pain during the day, while working, and had occasional relief when she was resting. Pain was associated with palpitations and shortness of breath and had an average of 2-3 episodes per week lasting 10–15 minutes each. No other symptoms were reported at that time. Patient denied having any family history of coronary artery disease or history of alcohol, tobacco, and illicit drug usage. Patient was proceeded to get an EKG and stress test. EKG did not show any acute abnormalities and Thallium stress test showed a mild degree of myocardial ischemia involving basal region of anterior wall, which was reversible...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420628/
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