A 41-year-old Caucasian female with a history of hypertension presented with exertional chest pain. Her vital signs were stable on admission and physical examination was unremarkable. An Electrocardiogram (EKG) revealed inferior ST segment elevations consistent with acute myocardial infarction and cardiac enzymes were elevated. She was started on heparin, and underwent immediate cardiac catheterization.
Srinivasan, MD, Sivakumar and Nagarakanti, MD, Rangadham
"Recurrent spontaneous coronary artery dissections,"
The Medicine Forum:
Vol. 7, Article 18.
Available at: http://jdc.jefferson.edu/tmf/vol7/iss1/18