Case A 61-year-old male patient was admitted with a complaint of typical chest pain which started a week before admission and worsened a few hours before admission. The pain was accompanied by dyspnea, nausea, and sweating. Examination BP- 110/80 mmHg HR- 54 beats/min RR- 22 breaths/min Temperature- 37 °C History History of presenting illness- Seventeen months ago, the patient presented with stable angina. Angiography performed then (Figure1) showed ectatic right coronary artery, 30% irregular diffuse-proximal distal flow, and 70% stenosis at the proximal D1 vessel. Figure 1.
Angiography that was done 17 months before current admission. The patient had then requested medical treatment instead of other coronary interventions. Hence, he was prescribed bisoprolol, aspirin, ISDN, and atorvastatin. However, three months later, the patient suffered from unstable angina pectoris. Angiography…
