A 61-year-old woman was brought to the rural emergency department (ED) with atypical chest pain . The woman had a history of blood pressure , type 2 diabetes, hyperlipidemia, and smoking . She had previously suffered from an NSTEMI elevation myocardial infarction. Investigations Right arm BP 118/56 mmHg, left arm BP 115/55 mmHg Heart rate 55 BPM (beats per minute) 95% of oxygen saturation on 2-liter nasal prongs ECG analysis indicated sinus bradycardia with old inferior q-waves and an elevated level of troponin I at 0.10.
Angiography showed no signs of coronary artery disease. No indication of dissection of the artery was observed after the root aortogram (cover image). Due to the unavailability of a bedside echocardiogram at rural ED, no d-dimer test was performed. Source : BMJ Case Reports ##Disclaimer## The content provided on Docplexus is intended for educational purposes…
