50 years old female patient with a medical history of hypertension presented to the clinic with chest pain, palpitations, and dyspnea on exertion of 2 years duration. Extensive workup in search of the culprit etiology of her chest pain revealed a challenging combination of an anomalous left anterior descending artery with myocardial bridging and endothelial dysfunction. She was treated medically with long acting nitrates, L-arginine and calcium channel blockers, and remains asymptomatic after 12 months of follow up.
CITATION STYLE
El-Am, E. A., Corban, M. T., Pollak, A. W., Lerman, A., & Ammash, N. M. (2020). A Challenging Combination: Anomalous Left Anterior Descending Coronary Artery, Myocardial Bridging, and Endothelial Dysfunction. Frontiers in Cardiovascular Medicine, 7. https://doi.org/10.3389/fcvm.2020.00057
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