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.