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KMID : 0368120080380020119
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Korean Circulation Journal
2008 Volume.38 No. 2 p.119 ~ p.121
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Severe Stenosis of the Left Main Coronary Artery Detected on Electrophysiologic Study
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Choe Jae-Hun
Kim Jun
Lee Tae-Keun
Lee Han-Cheol
Kim June-Hong
Chun Kook-Jin
Hong Taek-Jong
Shin Yung-Woo
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Abstract
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A cardiac electrophysiologic study (EPS) is a safe procedure with a low complication rate. We report here a case of severe stenosis of the left main coronary artery (LMCA) that was incidentally detected during an EPS; this was successfully managed by stenting the LMCA. The patient was a 75-year-old man with recurrent chest fluttering and no previous angina underwent EPS and he developed acute ischemic chest pain due to induced atrial fibrillation. The coronary angiography showed a critical stenosis in the distal LMCA. The patient underwent percutaneous coronary intervention with a sirolimus-eluting stent in the LMCA. The patient has remained asymptomatic during a 1-year follow-up period. To prevent potentially catastrophic complications, performing a stress myocardial imaging test should be strongly considered before conducting EPS in elderly patients
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KEYWORD
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Electrophysiologic study, Cardiac, Coronary artery disease, Complications
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