A healthy 32-year-old woman has severe chest pain. ECG shows a heart attack, but Angiography reveals an abrupt arterial change. What’s the cause?
A previously healthy 32-year-old woman presented with a 2-hour history of severe chest pain at rest. An electrocardiogram showed ST-segment elevations in leads II, III, and aVF with reciprocal ST-segment depressions in leads I and aVL. An initial troponin I level was normal. Owing to concern for acute coronary syndrome, emergency coronary angiography was performed, which showed an abrupt caliber change extending from the proximal to the distal right coronary artery. What is the most likely etiology of arterial injury?
What is the most likely diagnosis?
Acute Coronary Syndrome, Angiography, Dissection, Myocardial Infarction, SCAD
