Heart, Lung and Circulation
Image| Volume 22, ISSUE 5, P394-395, May 2013

Multiple Spontaneous Coronary Artery Dissections in a 46 Year-old Female

Published:November 21, 2012DOI:
      A 46 year-old female presented to the emergency department with a six-hour history of retrosternal chest pain. She had no history of diabetes, hypertension, hypercholesterolaemia and was a non-smoker. ECGs showed widespread ST depression that was not dynamic. Serial troponins were negative. Exercise sestamibi scan did not reveal a perfusion defect. Two weeks later she represented with more chest pain. Troponin T was elevated at 0.12 mcg/L and ECGs were unchanged.


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