HomeClinicalAcute-onset chest pain and nausea

Acute-onset chest pain and nausea

Author: Jean-François Paul, MD, Plessis-Robinson, France
Body Region: Cardiovascular

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References

1. Patient presentation

  • A 60-year-old woman presented with acute-onset chest pain and nausea.
  • Troponin was mildly elevated (7 ng/ml) at admission.
  • Electrocardiography showed sinus rhythm and right bundle branch block without ST elevation.
  • Coronary angiography, performed immediately, was initially interpreted as not showing any
    significant lesion.

  • Contrast-enhanced ECG-gated acquisition using dual-source multidetector CT was performed.