| Autor: |
Sutil-Vega M; From the Cardiac Imaging Unit (M.S.V., G.P.), Aortic Disease Unit (A.J.B.M.), and Interventional Cardiology Unit (X.M.), Department of Cardiology, and Department of Radiology (J.A.H.), Hospital de la Santa Creu i Sant Pau-UAB, Barcelona, Spain; and Department of Radiology, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain (D.R.V.)., Romeu Vilar D; From the Cardiac Imaging Unit (M.S.V., G.P.), Aortic Disease Unit (A.J.B.M.), and Interventional Cardiology Unit (X.M.), Department of Cardiology, and Department of Radiology (J.A.H.), Hospital de la Santa Creu i Sant Pau-UAB, Barcelona, Spain; and Department of Radiology, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain (D.R.V.)., Barros-Membrilla AJ; From the Cardiac Imaging Unit (M.S.V., G.P.), Aortic Disease Unit (A.J.B.M.), and Interventional Cardiology Unit (X.M.), Department of Cardiology, and Department of Radiology (J.A.H.), Hospital de la Santa Creu i Sant Pau-UAB, Barcelona, Spain; and Department of Radiology, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain (D.R.V.)., Millán X; From the Cardiac Imaging Unit (M.S.V., G.P.), Aortic Disease Unit (A.J.B.M.), and Interventional Cardiology Unit (X.M.), Department of Cardiology, and Department of Radiology (J.A.H.), Hospital de la Santa Creu i Sant Pau-UAB, Barcelona, Spain; and Department of Radiology, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain (D.R.V.)., Hidalgo JA; From the Cardiac Imaging Unit (M.S.V., G.P.), Aortic Disease Unit (A.J.B.M.), and Interventional Cardiology Unit (X.M.), Department of Cardiology, and Department of Radiology (J.A.H.), Hospital de la Santa Creu i Sant Pau-UAB, Barcelona, Spain; and Department of Radiology, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain (D.R.V.)., Pons-Lladó G; From the Cardiac Imaging Unit (M.S.V., G.P.), Aortic Disease Unit (A.J.B.M.), and Interventional Cardiology Unit (X.M.), Department of Cardiology, and Department of Radiology (J.A.H.), Hospital de la Santa Creu i Sant Pau-UAB, Barcelona, Spain; and Department of Radiology, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain (D.R.V.). |
| Abstrakt: |
HistoryA 54-year-old woman presented with typical chest pain during physical training at the gym. She had a history of hypertension controlled with hydrochlorothiazide, without any other cardiovascular risk factor and with neither personal nor family history of ischemic heart disease. She was postmenopausal and had a long-standing history of migraine headaches without hormonal or drug therapy. The patient had no history of clinically important thoracic trauma or invasive chest interventions. Initial electrocardiography (ECG) showed signs of ongoing anterior ST segment elevation myocardial infarction, and emergent coronary angiography with angioplasty and intravascular US were performed. Maximal level of high-sensitive T troponins was 820 ng/L (normal, <13 ng/L), while echocardiography showed a normal left ventricular ejection fraction, with no apparent regional wall motion abnormalities. General physical examination findings were unremarkable, excluding ligamentous hyperlaxity and joint instability. C-reactive protein, rheumatoid factor, antinuclear antibody, cytoplasmic antineutrophil cytoplasmic antibody, and angiotensin-converting enzyme blood test results were negative. For further evaluation, arterial phase ECG-synchronized CT angiography from the skull base to the pubis symphysis was performed. |
