case_images: PMC6011145_01
case_images: Lateral ST elevation.
case_images: CRIEM2018-2740513.001.jpg
case_images: PMC6011145_01_CRIEM2018-2740513.001.jpg
case_images: fig1
case_images: 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.
case_images: Proximal and distal lucency consistent with spontaneous LAD coronary artery dissection. The right coronary artery had a normal angiogram.
case_images: CRIEM2018-2740513.002.jpg
case_images: PMC6011145_01_CRIEM2018-2740513.002.jpg
case_images: fig2
case_images: He denied cocaine, amphetamine, or other performance enhancing drug use (Figure 2).