Tag Archives: spontaneous coronary artery dissection

Introduction Takotsubo syndrome (TTS) and spontaneous coronary artery disease (SCAD) may present with similar clinical characteristics, such as chest pain, elevated cardiac biomarkers and comparable wall motion patterns on echocardiography. It is estimated that 7% of patients presenting with a provisional diagnosis of TTS have angiographic evidence of SCAD. Angiography and cardiac magnetic resonance imaging (MRI) are essential tools for the diagnosis of co-existent TTS and SCAD. Case report A 59-year-old woman, with a previous history of anxiety and smoking, was admitted for sudden retrosternal pain after an argument with a relative. Physical