DIFFERENT CLINICAL AND ANGIOGRAPHIC FINDING IN A SET OF IRANIAN IDENTICAL TWIN: A CASE REPORT

Both genetic and environmental causes are involved in developing of Coronary Artery Disease (CAD), but there is a notable controversy about the environmental and genetic factors that play a role in the pathogenesis of CAD. The value of each individual risk factor on CAD and the incidence of coronary artery disease in identical twins are indefinite. To find out genetic mechanisms of coronary heart disease, the assessment of twins study may help us. On the other hand the natural history of coronary artery disease in an asymptomatic twin with a symptomatic counterpart is undistinguishable. We present a case report about different coronary angiographic findings on an Iranian identical Lady Twin with different clinical outcome in access to incidence of CAD in twins. Based on our patient and the information on other patients, the asymptomatic twins of symptomatic counterparts need aggressive assessment and management for occult coronary artery disease.