Remove Cardiomyopathy Remove Dysrhythmia Remove SCAD
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An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. Troponins may be negative with very rapid reperfusion, or measured too late, or chronically elevated due to cardiomyopathy or renal failure. What is Spontaneous Coronary Artery Dissection (SCAD)?

SCAD 52