CORONARY - Acute Coronary Syndromes (STEMI, NSTE-ACS)
Not Your Typical Myocardial Infarction
David Yong1, Kumara Gurupparan Ganesan1
National Heart Institute, Malaysia1,
30-year-old lady with background history of smoking and combine oral contraceptive use presented with sudden onset typical chest pain at 3 am with worsening symptoms at 11.30 am. ECG showed 1mm ST elevation at AVL with Troponin raised 160 ng/L at presentation to hospital 12.30 pm. Hemodynamically stable.
This young lady presented with STEMI due to spontaneous coronary artery dissection. Clinical decision for angioplasty made in view of on-going chest pain and dissection involving left main coronary artery which is a high risk area. Troponin T peaked at 2320 pg/ml. Post procedure, she remained angina free and was discharged well.