Article Text
Abstract
A 27-year-old elite-level professional cyclist presented to the emergency department with a 6-hour history of chest pain and vomiting after prematurely aborting a competitive event. ECG demonstrated anterior ST segment elevation myocardial infarction, and blood tests revealed a grossly elevated high-sensitivity troponin T. Emergent coronary angiography confirmed the presence of a thrombus in the mid-left anterior descending artery with possible spontaneous coronary artery dissection. The patient recovered well following balloon angioplasty and thrombus aspiration, despite delayed recognition, invasive investigation and intervention.
- cardiovascular medicine
- interventional cardiology
- ischaemic heart disease
- interventional cardiology
- radiology (diagnostics)
Statistics from Altmetric.com
Footnotes
Contributors Case identification: TT, CSGT. Literature search: MP, CSGT, TT, JH. Manuscript writing: CSGT, MP, TT, JH, ME. Manuscript checking: CSGT, MP, TT, JH, ME. Patient’s perspective: TT.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained.