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Unstable angina in a patient with single coronary artery
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A 58 year old woman with hypertension, hypercholesterolaemia, and family history of coronary heart disease presented with a five year history of exertional chest discomfort, relieved by rest and nitrate administration.
Coronary angiography demonstrated a single left coronary ostium (aortography confirmed absence of right coronary artery), left circumflex artery was dominant, …