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"A patient just arrived as a transfer for NSTEMI."

Dr. Smith's ECG Blog

Given her lack of risk factors for coronary disease, and the fact that she was a 53 year old woman with compatible history and echo findings, stress cardiomyopathy rose to the top of my differential. Of course, stress cardiomyopathy is a diagnosis of exclusion. Hers is shown below. But it is a diagnosis of exclusion.

SCAD 124
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50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?

Dr. Smith's ECG Blog

Relevance to Today's CASE: As per Dr. Smith — Trying to predict the "culprit" artery in today's case was confusing.

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An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

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 occurs in patients with few or non-traditional cardiovascular risk factors. She has done quite a bit of research on the topic.

SCAD 52