Case History
A 28-year-old female with no known co-morbidities presented to the Emergency Department of a tertiary care hospital in the early morning hours with complaints of chest pain and palpitations. As revealed on further interrogation, the pain started in the chest, was crushing in character, radiating towards the shoulder, arm, and forearm, and was gradually worsening. It was associated with mild sweating and palp itations and was not relieved by local Non Steroidal Anti Inflammatory Drugs (NSAID’s). There was no prior history of such episodes and no history of active or passive smoking, drug abuse, depression, stress triggers, dyslipidemias, or family history of Coronary Artery Disease (CAD). The vitals at the time of presentation were as follows: Blood pressure: 100/70, Heart rate: 100 beats/min, Temperature: Afebrile, Respiratory rate: 17 breaths/min.