Background: A 68-year-old man was referred for stable angina pectoris and a large apical perfusion defect on stress myocardial scintigraphy. Medical history included chronic oral anticoagulation with warfarin due to longstanding atrial fibrillation, type 2 diabetes mellitus, hypertension, and dyslipidaemia.
Investigation: Coronary angiography.
Diagnosis: Severe stenosis of the mid left anterior descending coronary artery.
Treatment: Percutaneous coronary intervention with implantation of drug-eluting stent.