Severe Stenosis of the Left Main Coronary Artery Detected on Electrophysiologic Study

다국어 초록 (Multilingual Abstract)

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.

다국어 초록 (Multilingual Abstract)

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.

참고문헌 (Reference)

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