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A 54-year-old woman with hypertension presented with acute disabling chest pain for 2 h and a blood pressure of 86/57mm Hg. The diagnosis of acute anterior wall ST segment elevation myocardial infarction (STEMI) was based on ECG (figure 1) and bedside transthoracic echocardiography findings disclosing anterior wall hypokinesis with mild aortic regurgitation without pericardial effusion. Urgent coronary angiography revealed the striking pulsatile luminal collapse of all three coronary arteries mimicking severe coronary spasm (figure 2A,B, white …
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