eMedicine Specialties > Cardiology > Coronary Artery Disease
Isolated Coronary Artery Anomalies: Follow-up
Updated: Mar 13, 2008
Follow-up
Deterrence/Prevention
Antibiotic prophylaxis for endocarditis is recommended in the presence of fistulas.
Complications
The following complications are associated with certain types of congenital coronary anomalies:
- Sudden cardiac death
- Myocardial ischemia, including acute myocardial infarction
- Congestive heart failure
- Endocarditis
Prognosis
- Most coronary artery anomalies are clinically silent and do not affect the outcome of patients.
- Certain anomalies are associated with sudden death, myocardial ischemia, congestive heart failure, or endocarditis at an early age.
Patient Education
- Patients with coronary anomalies and symptoms of myocardial ischemia or congestive heart failure should avoid strenuous physical activity.
- Antibiotic prophylaxis is recommended in patients with fistulas.
Miscellaneous
Medicolegal Pitfalls
Coronary artery anomalies may result in sudden death in high-profile athletes. Awareness of such an association may prevent unnecessary litigation.
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| References |
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References
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Further Reading
Keywords
isolated coronary artery anomalies, anomalous origin of epicardial coronary arteries, anomalous course of epicardial coronary arteries, anomalous termination of epicardial coronary arteries, congenital stenosis of the epicardial coronary arteries, atresia of the coronary arteries
Follow-up: Isolated Coronary Artery Anomalies