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Spontaneous coronary artery dissection in a pre-menopausal woman presenting with transient ST segment elevation
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A 45 year old, pre-menopausal woman, without any known risk factors for coronary artery disease, presented in the emergency department with acute onset of chest pain. The ECG showed transient ST segment elevation of 3 mm in leads V3–V6. Although creatine kinase (CK) and CK-MB were not increased, troponin I elevation (3.1 ng/ml) was observed during hospitalisation in the coronary care unit. …