PMC6011145_01
Lateral ST elevation.
CRIEM2018-2740513.001.jpg
PMC6011145_01_CRIEM2018-2740513.001.jpg
fig1
Given the dizziness and diaphoresis initially, patient had an ECG performed which showed lateral ST segment elevation (Figure 1) and had a subsequent troponin I that was positive, 0.49ng/mL, with a Creatine Phosphokinase (CPK) of 617 U/L.
Proximal and distal lucency consistent with spontaneous LAD coronary artery dissection. The right coronary artery had a normal angiogram.
CRIEM2018-2740513.002.jpg
PMC6011145_01_CRIEM2018-2740513.002.jpg
fig2
He denied cocaine, amphetamine, or other performance enhancing drug use (Figure 2).