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A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. Here’s the angiogram of the RCA : No thrombus or plaque rupture in the RCA (or any coronary artery) was found. The initial troponin I was elevated at 0.75

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An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

These are reperfusion T-waves (the same thing as Wellens' waves) Echocardiogram Regional wall motion abnormality-distal septum and apex. What is Spontaneous Coronary Artery Dissection (SCAD)? SCAD occurs in patients with few or non-traditional cardiovascular risk factors. Regional wall motion abnormality-distal inferior wall.

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