Anomalous coronary artery found in the syncopal workup of an elderly man

Ronnie Oommen, Jeff T Wilkins, Stephen Y. Chen, Vishal Arora

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Syncope, defined as a transient loss of consciousness, is seen in 1% of all visits to emergency departments and urgent care clinics in the United States. Syncope is categorized as cardiogenic, neurologic, or psychogenic. Anomalies of the coronary arteries are rare, and anomalous coronary arteries present as syncope more often in the young than in the elderly; syncope rarely occurs in patients 65 years of age and older. There are 2 major variants of coronary anomalies. In the first variant, the left main coronary artery arises from the right aortic sinus. In the second variant, the right coronary artery arises from the left aortic sinus. The risk of sudden death is higher in patients with the left coronary artery arising from the right aortic sinus. We present a case of an anomalous coronary artery discovered during the syncopal workup in a 66-year-old man because no such cases have been published in the United States. We will discuss the management of anomalous coronary arteries as well as a systematic approach to the diagnosis and management of syncope.

Original languageEnglish (US)
Pages (from-to)541-546
Number of pages6
JournalJournal of the American Board of Family Medicine
Volume25
Issue number4
DOIs
StatePublished - Jul 1 2012

Fingerprint

Coronary Vessels
Syncope
Sinus of Valsalva
Unconsciousness
Emergency Medical Services
Sudden Death
Ambulatory Care Facilities
Nervous System
Hospital Emergency Service

Keywords

  • Anomalous coronary arteries
  • Case reports
  • Elderly
  • Syncope

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

Cite this

Anomalous coronary artery found in the syncopal workup of an elderly man. / Oommen, Ronnie; Wilkins, Jeff T; Chen, Stephen Y.; Arora, Vishal.

In: Journal of the American Board of Family Medicine, Vol. 25, No. 4, 01.07.2012, p. 541-546.

Research output: Contribution to journalArticle

@article{ed53b11f4ac74729b969b5df94171c16,
title = "Anomalous coronary artery found in the syncopal workup of an elderly man",
abstract = "Syncope, defined as a transient loss of consciousness, is seen in 1{\%} of all visits to emergency departments and urgent care clinics in the United States. Syncope is categorized as cardiogenic, neurologic, or psychogenic. Anomalies of the coronary arteries are rare, and anomalous coronary arteries present as syncope more often in the young than in the elderly; syncope rarely occurs in patients 65 years of age and older. There are 2 major variants of coronary anomalies. In the first variant, the left main coronary artery arises from the right aortic sinus. In the second variant, the right coronary artery arises from the left aortic sinus. The risk of sudden death is higher in patients with the left coronary artery arising from the right aortic sinus. We present a case of an anomalous coronary artery discovered during the syncopal workup in a 66-year-old man because no such cases have been published in the United States. We will discuss the management of anomalous coronary arteries as well as a systematic approach to the diagnosis and management of syncope.",
keywords = "Anomalous coronary arteries, Case reports, Elderly, Syncope",
author = "Ronnie Oommen and Wilkins, {Jeff T} and Chen, {Stephen Y.} and Vishal Arora",
year = "2012",
month = "7",
day = "1",
doi = "10.3122/jabfm.2012.04.110319",
language = "English (US)",
volume = "25",
pages = "541--546",
journal = "Journal of the American Board of Family Medicine",
issn = "1557-2625",
publisher = "American Board of Family Medicine",
number = "4",

}

TY - JOUR

T1 - Anomalous coronary artery found in the syncopal workup of an elderly man

AU - Oommen, Ronnie

AU - Wilkins, Jeff T

AU - Chen, Stephen Y.

AU - Arora, Vishal

PY - 2012/7/1

Y1 - 2012/7/1

N2 - Syncope, defined as a transient loss of consciousness, is seen in 1% of all visits to emergency departments and urgent care clinics in the United States. Syncope is categorized as cardiogenic, neurologic, or psychogenic. Anomalies of the coronary arteries are rare, and anomalous coronary arteries present as syncope more often in the young than in the elderly; syncope rarely occurs in patients 65 years of age and older. There are 2 major variants of coronary anomalies. In the first variant, the left main coronary artery arises from the right aortic sinus. In the second variant, the right coronary artery arises from the left aortic sinus. The risk of sudden death is higher in patients with the left coronary artery arising from the right aortic sinus. We present a case of an anomalous coronary artery discovered during the syncopal workup in a 66-year-old man because no such cases have been published in the United States. We will discuss the management of anomalous coronary arteries as well as a systematic approach to the diagnosis and management of syncope.

AB - Syncope, defined as a transient loss of consciousness, is seen in 1% of all visits to emergency departments and urgent care clinics in the United States. Syncope is categorized as cardiogenic, neurologic, or psychogenic. Anomalies of the coronary arteries are rare, and anomalous coronary arteries present as syncope more often in the young than in the elderly; syncope rarely occurs in patients 65 years of age and older. There are 2 major variants of coronary anomalies. In the first variant, the left main coronary artery arises from the right aortic sinus. In the second variant, the right coronary artery arises from the left aortic sinus. The risk of sudden death is higher in patients with the left coronary artery arising from the right aortic sinus. We present a case of an anomalous coronary artery discovered during the syncopal workup in a 66-year-old man because no such cases have been published in the United States. We will discuss the management of anomalous coronary arteries as well as a systematic approach to the diagnosis and management of syncope.

KW - Anomalous coronary arteries

KW - Case reports

KW - Elderly

KW - Syncope

UR - http://www.scopus.com/inward/record.url?scp=84863698657&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863698657&partnerID=8YFLogxK

U2 - 10.3122/jabfm.2012.04.110319

DO - 10.3122/jabfm.2012.04.110319

M3 - Article

C2 - 22773724

AN - SCOPUS:84863698657

VL - 25

SP - 541

EP - 546

JO - Journal of the American Board of Family Medicine

JF - Journal of the American Board of Family Medicine

SN - 1557-2625

IS - 4

ER -