Left Main Spontaneous Coronary Artery Dissection: The Complexity of Management Considerations

T. Paterick
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Abstract

41-year old white female presented to the Emergency Department (ED) with sudden onset, sub-sternal chest pressure, which she characterized as 10/10, radiating to her upper back. She experienced associated nausea and diaphoresis. She was vacuuming the living room at her home when symptoms developed. The patient’s only risk factor was cigarette smoking 1ppd. Her initial ECG showed sinus rhythm with ST-segment elevation in lead aVR, with reciprocal ST-segment depression in the anterior and inferior leads (Figure 1). Abstract
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左主干自发性冠状动脉夹层:管理考虑的复杂性
41岁的白人女性因突发胸骨下胸压而被送往急诊科(ED),其特征为10/10,辐射至上背部。她经历了相关的恶心和发汗。症状出现时,她正在用吸尘器打扫家里的客厅。患者唯一的危险因素是吸烟1次/天。她最初的心电图显示aVR导联出现窦性心律,ST段抬高,前导联和下导联出现相反的ST段压低(图1)。摘要
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