Clinical question of the week: ST elevation without obstructive coronary disease

A previously fit 42 year old woman developed severe chest pain after an argument with her partner. On arrival to A&E her ECG showed marked ST segment elevation in the septal leads. She was transferred for emergent coronary angiography but this demonstrated no obstructive coronary disease. Her chest pain and ecg changes resolved after a few hours with no q waves. and serum troponin was very elevated. Her ECHO showed severe LV impairment with anterior and inferior akinesia immediately after the coronary angiogram but normalised 2 days later.

Source: Doc2Doc BMJ Cardiology - April 7, 2015 Category: Cardiology Authors: heart doc Source Type: forums