Apparently normal LV strain with occluded LAD

Apparently normal LV strain with occluded LAD

A case of 3-vessel coronary artery disease and occluded LAD with normal global but abnormal segmental LV longitudinal strain

June 6, 2022
Pages 1 – 4


  • Coronary artery disease
  • LV longitudinal global and segmental strain
  • LV systolic function

A 48-year-old male patient(BSA= 1.5 m2) was admitted because of typical recurrent effort chest pain for the last 20 days. BP= 120/80 mmHg. HR= 60 bpm on beta-blocker therapy. Normal chest X-ray.
Figures 1 to 4 show the coronary angiographic examination (courtesy of dr. F. Lavarra): moderate stenosis of the right coronary artery (40-50%); mild stenosis of the left main (20-30%); severe stenosis followed by occlusion of the left anterior descending coronary artery.

Figure 1. Right coronary artery (1)
Figure 2.Right coronary artery (2)
Figure 3. Left coronary artery (1)
Figure 4.Left coronary artery (2)

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