Case report of severe coronary artery tortuosity with coexisting connective tissue disease

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2023-02-10 DOI:10.1111/anec.13052

Zao-Xian Xu MD, Yi Yang MD, Shang-Ping Xin MD, Rong-Fang Zhou MD, Xiao-Ling Shou MD

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Abstract

Coronary artery tortuosity (CAT) is frequently detected during coronary angiography or coronary electron-beam computed tomography angiography by cardiovascular interventionalists. In this article, we described the case of a 69-year-old female patient with recurrent chest discomfort for 1 month and recurrence 1 week ago, accompanied by emaciation, gastrointestinal discomfort, and low skin temperature at the extremities. After a series of tests, the patient was finally diagnosed with severe CAT and coexisting connective tissue disease. Accordingly, she was treated with conventional medications, and diet and lifestyle modifications. The symptoms of the patient resolved gradually after 1 year of follow-up. Although there is no unanimous conclusion on the pathogenesis and clinical characteristics of CAT, this disease may provide a clue to the diagnosis of connective tissue disease, and warrants exploration through further research.

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严重冠状动脉扭曲伴结缔组织疾病1例

冠状动脉扭曲(CAT)常被心血管介入医师在冠状动脉造影或冠状动脉电子束计算机断层造影时发现。在这篇文章中，我们描述了一个69岁的女性患者，反复出现胸部不适1个月，1周前复发，并伴有消瘦，胃肠道不适和四肢皮肤温度低。经过一系列的检查，患者最终被诊断为严重的CAT和并存的结缔组织病。因此，她接受了常规药物治疗，并改变了饮食和生活方式。随访1年后，患者症状逐渐缓解。虽然对CAT的发病机制和临床特征尚无一致的结论，但该疾病可能为结缔组织病的诊断提供线索，值得进一步研究探索。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.