22 year old female patient with mysterious symptoms

Hello all.  I have a 22 year old female european patient with mysterious symptoms. Just over a year she underwent coronary angiography, but no diagnosis. She became seriously ill at age 16 and complaints of heart problems. The female patient with childhood lagging behind in physical development (155 cm, 35 kg). With 11 years of she has supraventricular tachycardia.  Symptoms: High blood pressure (high diastolic BP or systolic and diastolic): 110/90 - 160/100. Chest pain (left side and sternum) Pain in lower left jaw and sometimes in right lower jaw (Provocative factors: cold and hot weather, stuffiness, black and green tea, high blood pressure, geomagnetic storm and causeless).  CK-MB after 2 days of attack - 79,0 U/I Without attack - 29.0 U/I LDH - 274 U/I No hypercholesterolemia and no diabetes. No anorexia, no anemia. My female patient is non-smoking and non-alcohol drinker.  After ergonovine administation left coronary artery is vanished (total occlusion of LCA). The same effect following administration of nitroglycerin. Variant angina? Branches of the left coronary artery are not arranged as in normal anatomy. What's this? Crossing of LCA? Ask the expert, who had a similar case. While he could not answer to me negatively or positively. As a rule, epicardial coronary arteries do not cross one another.  Arteries should be parallel to each other. And crossing of coronary a...
Source: Doc2Doc BMJ Cardiology - Category: Cardiology Authors: Source Type: forums