A 63 years old tabetic and hypertensive man was referred to cardiology clinic of LA RABTA with chest pain. His chest pain was retrosternal and effort-related, was relieved by rest, radiated to left arm. He had no history of diabetic mellitus, hyperlipidaemia, and family history of coronary artery disease.
There were no signs of cardiopulmonary insufficiency. Physical examination and heart auscultation revealed nothing unusual. ECG showed a sinus rhythm of 76 beats/min, without repolarisation anomalies. The transthoracic echocardiogram demonstrated normal wall motion with an ejection fraction of 55% and heart function valve was unremarkable.
Seen a high probability of coronary artery disease, the patient underwent a coronary arteriogram
