In the recently reported case, coronary artery fistula (CAF) was an incidental finding which drew attention to unrelated, but potentially life-threatening coronary artery disease (CAD).¹ Conversely, a potentially life-threatening cardiovascular crisis such a pulmonary embolism (PE) may be the one that draws attention to a CAF.² The latter state of affairs occurs when PE has a clinical and electrocardiographic (ECG) presentation which simulates acute coronary syndrome (ACS), the latter ECG pattern provoked by the presence of CAF.²

中文翻译：

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冠状动脉瘘与缺血性心电图关联的鉴别诊断。

在最近报道的一例中，冠状动脉瘘（CAF）是一个偶然发现，引起了人们的关注，但与之无关，但可能危及生命。¹相反，可能会危及生命的心血管疾病，例如肺栓塞（PE）可能引起人们对CAF的关注。²当PE具有模拟急性冠状动脉综合征（ACS）的临床和心电图（ECG）表现时，就会发生后一种情况，后者是由CAF引起的。²