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Rare disease
Resolution of ischemia with β-blocker in a patient with anomalous right coronary artery
  1. Sanjay Kumar1,
  2. Sashank Kaushik2,
  3. Alain Vaval1,
  4. Qian Zhao1,
  5. Jason M Lazar1,
  6. Richard Grodman1
  1. 1Cardiovascular Medicine Department, State University of New York Downstate Medical Center, Brooklyn, New York, United States
  2. 2Internal Medicine Department, Brookdale University Hospital and Medical Center, Brooklyn, New York, United States
  1. Correspondence to Dr Sashank Kaushik, dr.skaushik{at}


Anomalous origin of right coronary artery (RCA) has been associated with angina, myocardial infarction and sudden death. Often these patients are referred for surgery. However, long-term β-blocker therapy instead of surgery has been used in some cases with success. The authors report a case of anomalous RCA where resolution of ischemia with β-blocker was objectively demonstrated on serial stress testing.

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  • Competing interests None.

  • Patient consent Not obtained.

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