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Atypical presentation of critical left main disease in an HIV-infected patient

Authors Seecheran R, Seecheran V, Persad S, Dookie T, Seecheran N

Received 5 February 2018

Accepted for publication 23 March 2018

Published 20 June 2018 Volume 2018:11 Pages 139—143

DOI https://doi.org/10.2147/IMCRJ.S164642

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Justinn Cochran

Peer reviewer comments 3

Editor who approved publication: Professor Ronald Prineas


Rajeev Seecheran,1 Valmiki Seecheran,2 Sangeeta Persad,2 Taarik Dookie,3 Naveen Anand Seecheran1

1Department of Clinical Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago; 2Cardiovascular Services Division, North West Regional Health Authority, Mt. Hope, Trinidad and Tobago; 3Cardiology Unit, Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago

Abstract: Coronary artery disease is currently one of the leading causes of mortality in patients with HIV. Severe left main disease (LMD) occurs in ~6% of the HIV-infected patients. We describe a case report of an atypical presentation of silent critical LMD in an HIV-infected patient who underwent a low-risk exercise stress test. The cardiovascular disease team should be vigilant for this latent phenomenon, specifically within this subpopulation despite the high Duke treadmill score.

Keywords: left main disease, left main lesion, left main stenosis, human immunodeficiency virus, HIV

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