Open AccessRelief of Angina Pectoris When Carrying Heavy Loads with the Left Hand in a Patient with Previous Coronary Artery Bypass Graft Operation Who Has Severe Exercise Angina: A Case Report
Author(s) -
Tanindi Asli,
Cengel Atiye,
Akyel Ahmet,
Akinci Sinan
Publication year - 2010
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.20436
Subject(s) - medicine , angina , cardiology , coronary artery disease , artery , exertion , revascularization , stenosis , left coronary artery , surgery , myocardial infarction
In patients with known coronary artery disease and/or a history of revascularization, angina pectoris or unstable coronary syndromes are usually attributed to the progression of atherosclerotic lesions rather than an unrecognized great vessel disease. However, for patients with a previous coronary artery bypass graft operation (CABG), during which a left internal mammary artery (LIMA) conduit has been used, great vessel disease, especially subclavian artery stenosis should also be suspected. We present a case of a patient with a LIMA conduit who has angina pectoris on exertion, but interestingly the pain is relieved when he carries heavy loads with his left hand, which can be due to increased blood flow to the LIMA conduit during heavy lifting because of increased peripheral resistance. Copyright © 2010 Wiley Periodicals, Inc.