Dyspnea and Recurrent Syncopal Episodes in Patient with Left Main Coronary Artery Stenosis.

Abstract

Background: Ischemia is the clinical syndrome that stems from the mismatch of blood supply and demand. Syncope is one of the rare initial presentations of acute coronary syndrome patients. The paucity of incidence often causes ischaemia to be overlooked as a differential in patients with syncope.

Case presentation: We present a case of a 40-year-old woman with no cardiovascular risk factors presented with a history of recurrent syncope and dyspnea without any angina symptoms.

Management & Results: A coronary angiogram was done for the patient, showing an ostio-proximal left coronary artery disease. A Xience Prime DES was placed, which ultimately achieved TIMI III flow. Post PCI, the patient exhibited improvement in the symptoms and didn’t report any syncopal episodes in the follow-up.

Conclusion: Syncope can be the only presenting symptom in patient with Acute Coronary Syndrome (Myocardial Ischemia).It should be explored as a differential in people with no obvious neurological cause.