What is it about?
Introduction: Critical left main coronary artery (LMCA) stenosis is a life-threatening emergency that requires rapid but well-coordinated intervention. However, during on-call shifts, limited staff availability may necessitate stabilization strategies before definitive treatment.
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Why is it important?
Case Report: We report the case of an 84-year-old woman with a history of ischemic heart disease and atrial fibrillation (CHA DS -VA = 4) who presented with acute chest pain and hemodynamic instability.
Perspectives
Critical stenosis of the left main coronary artery (LMCA) is a cardiologic emergency associated with high mortality if not rapidly addressed. Primary percutaneous coronary intervention (PCI) is often required; however, certain situations—such as extreme patient frailty, anatomical complexity
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This page is a summary of: Critical Left Main Coronary Stenosis During on-Call Hours: A Case for Delayed Revascularization?, Journal of Case Reports and Medical History, August 2025, Acquire Publications LLC,
DOI: 10.54289/jcrmh2500142.
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