A week before admission |
Upper respiratory tract infection |
Three days before admission |
Intense isometric exercise and first episode of retrosternal burning |
Day of admission (9 a.m.) |
Fatigue and cold sweat while doing house chores |
Initial presentation |
History of fatigue and weakness without any complaint of chest pain, normal electrocardiogram, and borderline troponin level (no significant rise) |
Three days after admission |
Experiencing chest pain while holding his 2-year-old child |
Coronary angiography (Day 3) |
Multiple coronary artery dissection in left circumflex artery has been diagnosed |
Three month after hospital discharge |
One episode of similar chest pain while holding his child to escape the room because of the earthquake |
Four months after hospital discharge |
Myocardial perfusion scan with exercise test was performed, and it was negative for ischaemia |