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.
Keyword
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References
- Heart. 2010; 96: 801-808
- Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era.J Invasive Cardiol. 2010; 22: 549-553
- Spontaneous coronary artery dissection: case report and review of literature.South Med J. 2009; 102: 315-317
Article info
Publication history
Published online: November 21, 2012
Accepted:
October 13,
2012
Received in revised form:
September 1,
2012
Received:
April 18,
2012
Identification
Copyright
© 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.