A woman with recurrent chest pain and ST-segment elevation
Hesham R Omar1, Devanand Mangar2, Enrico M Camporesi3
1Internal Medicine Department, Mercy Medical Center, Clinton IA, USA.
Abstract:
A 32-year-old female presents with recurrent episodes of unprovoked chest pain associated with inferior ST-segment elevation and reciprocal ST-segment depression. Coronary angiography during one of these episodes revealed coronary artery spasm that spontaneously resolved followed by resolution of these electrocardiographic changes. There was no atherosclerotic occlusive disease. Her cardiac markers were normal and echocardiogram showed no regional wall motion abnormalities. Electrocariogram and angiography findings are shown in Fig. 1.
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