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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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