Diagnosis of Acute Coronary Syndrome in Patients With Congenital Anomaly of Coronary Arteries

Abstract

The article highlights the issues of terminology, prevalence, diagnosis, clinical manifestations, and the therapy of patients with congenital anomalies of the coronary arteries. Special attention is paid to the current state of the problem of congenital coronary artery anomalies and their in coverage in the relevant literature. Anomalies of the coronary arteries can cause the development of acute coronary syndrome and then lead to disability of the employable population. The aim of thus study was to analyze and compare clinical manifestations in coronary artery anomalies and angiographic changes of coronary arteries in order to improve the diagnosis of acute forms of coronary heart disease, and namely, acute coronary syndrome. We underscored the clinical significance of invasive diagnosis of coronary artery abnormalities using coronary angiography. We represented detailed analysis of the clinical case of an atypical course of acute coronary syndrome, accompanied by cardiac symptoms supported with changes on the electrocardiogram. Coronary angiography revealed a myocardial muscle bridge, which compressed the trunk of the left coronary artery during the systole, thus significantly reducing coronary artery diameter and provoking an attack of chest pain. Modern diagnostic methods enable to assess not only the condition of the coronary arteries, but also the features of their topography, and, in particular, in the myocardium.