Location
Moultrie, GA
Start Date
9-5-2023 1:00 PM
End Date
11-5-2023 4:00 PM
Description
According to the World Health Organization (WHO), cardiovascular diseases (CVDs) account for 17.9 million deaths yearly and are the leading cause of mortality in the United States. CVDs are heart and blood vessel disorders, including coronary artery disease (CAD), coronary heart disease (CHD), cerebrovascular disease, cardiomyopathy, and more. In 2018, diabetic adults accounted for 1.87 million hospitalizations for major cardiovascular diseases. Diabetes Mellitus (DM) is a global epidemic affecting about 422 million people worldwide. The Centers for Disease Control and Prevention (CDC) has reported more than 37 million people in the United States are diagnosed with DM, and 1 in 5 are unaware of it. Diabetic patients are at least twofold more likely to develop CAD. About one-third of all percutaneous coronary intervention (PCI) procedures are performed on diabetic patients in the United States (Berry et al.). Approximately 25% of patients undergoing coronary artery bypass graft (CBG) surgery have DM. Multiple studies have shown that diabetic women have a higher risk of CAD than their male peers. However, the diagnosis of CAD is more challenging in women. It has been reported that traditional diagnostic tests are less sensitive and specific in female patients, showing a lower prevalence of obstructive CAD, a more significant burden of symptoms, and a higher atherosclerotic burden (Crilly et al.). Several studies provided data on possible sex-specific patterns or presentations in CAD with an increased incidence in women with diabetes. This population is more likely to present atypical symptoms, which may contribute to a lower likelihood of diagnosis and treatment than their counterpart. This report presents a case of an atypical presentation of obstructive CAD in a 68-year-old Caucasian female with an extensive medical history significant for Type II Diabetes Mellitus, hypertension, hyperlipidemia, and moderate obesity. Pt presented to the emergency department with a 4-day history of intermittent heart palpitations with unremarkable electrocardiogram and negative cardiac enzymes. Her diagnostic arteriography revealed multiple vessel disease requiring a quadruple coronary artery bypass graft. The case report aims to provide insight into a patient with an atypical presentation of coronary artery disease and bring awareness to medical professionals to be more cognizant when providing care for these patients.
Embargo Period
7-12-2023
Included in
Atypical presentation of obstructive coronary artery disease in a diabetic female
Moultrie, GA
According to the World Health Organization (WHO), cardiovascular diseases (CVDs) account for 17.9 million deaths yearly and are the leading cause of mortality in the United States. CVDs are heart and blood vessel disorders, including coronary artery disease (CAD), coronary heart disease (CHD), cerebrovascular disease, cardiomyopathy, and more. In 2018, diabetic adults accounted for 1.87 million hospitalizations for major cardiovascular diseases. Diabetes Mellitus (DM) is a global epidemic affecting about 422 million people worldwide. The Centers for Disease Control and Prevention (CDC) has reported more than 37 million people in the United States are diagnosed with DM, and 1 in 5 are unaware of it. Diabetic patients are at least twofold more likely to develop CAD. About one-third of all percutaneous coronary intervention (PCI) procedures are performed on diabetic patients in the United States (Berry et al.). Approximately 25% of patients undergoing coronary artery bypass graft (CBG) surgery have DM. Multiple studies have shown that diabetic women have a higher risk of CAD than their male peers. However, the diagnosis of CAD is more challenging in women. It has been reported that traditional diagnostic tests are less sensitive and specific in female patients, showing a lower prevalence of obstructive CAD, a more significant burden of symptoms, and a higher atherosclerotic burden (Crilly et al.). Several studies provided data on possible sex-specific patterns or presentations in CAD with an increased incidence in women with diabetes. This population is more likely to present atypical symptoms, which may contribute to a lower likelihood of diagnosis and treatment than their counterpart. This report presents a case of an atypical presentation of obstructive CAD in a 68-year-old Caucasian female with an extensive medical history significant for Type II Diabetes Mellitus, hypertension, hyperlipidemia, and moderate obesity. Pt presented to the emergency department with a 4-day history of intermittent heart palpitations with unremarkable electrocardiogram and negative cardiac enzymes. Her diagnostic arteriography revealed multiple vessel disease requiring a quadruple coronary artery bypass graft. The case report aims to provide insight into a patient with an atypical presentation of coronary artery disease and bring awareness to medical professionals to be more cognizant when providing care for these patients.