ABSTRACT

Case study Patient CB, a 39-year-old female, presented in October 1997 with out of hospital cardiac arrest. She had no previous history of coronary artery disease. Her husband instituted cardiopulmonary resuscitation and she was transported to a local hospital where acute inferior myocardial infarction (MI) was diagnosed. Positive low-level exercise stress test post MI led to coronary angiography, which showed high grade left main stenosis, diffuse mild disease in the mid left anterior descending and diffuse moderate disease in the proximal and mid circumflex. The right coronary artery was totally occluded. She subsequently underwent four-vessel coronary artery bypass graft surgery in November 1997.