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. 2018 Jul 2;2(3):yty068. doi: 10.1093/ehjcr/yty068
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