Acute myocardial infarction due to triple vessel atherosclerosis and thrombosis of the left anterior descending coronary artery
AI-generated summary
A 53-year-old man with chest pain on exertion presented to his GP in March 2022. Initial investigations (blood tests, chest X-ray) were ordered but follow-up was delayed until July 2022. A cardiology referral was made, and an exercise stress test (November 2022) showed equivocal results suggestive of ischaemia. An echocardiogram in February 2023 revealed abnormal left ventricular wall motion indicating coronary artery disease. However, instead of urgent coronary angiography, a CTCA was ordered, which was cancelled. The patient died of acute myocardial infarction in April 2023. The coroner found that coronary angiography should have been pursued urgently following the abnormal echocardiogram. Delays in diagnostic pathway and access to interventional cardiology services were contributing factors. The patient's reluctance to attend appointments and commence medications also played a role.
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