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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.
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