Association between weekend catch-up sleep and stroke among US adults: A cross-sectional analysis of NHANES.

A 51‐year‐old male patient was admitted with a chief complaint of “sudden onset of chest tightness for 17 days.” Seventeen days prior to admission, the patient experienced a sudden fall, followed by chest tightness and shortness of breath, without chest pain or palpitations. The symptoms subsided after half an hour. Approximately 2 h later, he received treatment in a local hospital where elevated troponin levels were detected (Table ), leading to a diagnosis of “acute non‐ST‐segment elevation myocardial infarction.” Coronary angiography revealed: right‐dominant circulation; 60% stenosis in the distal left main coronary artery (LM); total occlusion in the mid‐left anterior descending artery (LAD); collateral circulation supplied to the LAD from the distal right coronary artery (RCA); 80% stenosis at the ostium of the left circumflex artery (LCx) and 70% stenosis in its distal segment; diffuse lesions throughout the RCA, with the most severe stenosis being 60%–70%. An attempt to recanalize the LAD was unsuccessful. For further diagnosis and treatment, the patient was admitted to our hospital with a diagnosis of “acute non‐ST‐segment elevation myocardial infarction.” Since the onset of the illness, the patient has remained alert with a stable mental status, normal bowel and bladder habits, and no significant weight changes. Troponin levels measured urgently at a local hospital 2 h after the sudden onset of chest tightness. : The patient self‐detected blood pressure fluctuations five years ago, but did not adhere to regular medication or monitoring. Specific values are unavailable. Diabetes mellitus for 5 years, managed with insulin therapy. His blood glucose control has been unstable. : Denies any history of smoking or alcohol consumption. : Blood pressure 97/56 mmHg, heart rate 84 bpm. : Clear breath sounds bilaterally; no significant dry or moist rales auscultated; no pleural friction rub. : No precordial bulge; normal apical beat; normal cardiac dullness borders; heart rate 84 bpm with regular rhythm; no murmurs heard over any valve area; no pericardial friction rub.