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Exertional dyspnoea due to spontaneous coronary artery dissection in a 55-year-old man
  1. J M Iturbe,
  2. S Banerjee,
  3. E S Brilakis
  1. emmanouil.brilakis@utsouthwestern.edu

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A 55 year-old man with history of hypertension, type 2 diabetes mellitus, hyperlipidaemia, and a remote history of methamphetamine use (>20 years before presentation) presented with a 2-year history of exertional dyspnoea. An adenosine thallium test showed a large area of anterior ischaemia. Diagnostic coronary angiography showed spontaneous coronary dissection originating in the ostium of the left anterior descending artery …

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