Simultaneous Progression and Regression of Coronary Artery Disease in a Patient from North India

Background: Lipids have a central role in the pathogenesis of atheroma formation. Statins are known to favorably alter the morphology of plaque and decrease the atheroma volume. Case: We present a case of 45 year old male who had spontaneous regression of coronary artery disease in Left anterior descending (LAD) with progression of coronary artery disease in left circumflex (LCX) and right coronary artery (RCA) over a period of 7 years. Conclusion: Disease regression could be attributable to statins while mechanism for simultaneous progression in other two vessels is still unclear