November 2014	Presents with chest pain after a 5-km run Electrocardiogram (ECG) shows infero-lateral ST-elevation with significant troponin rise Angiogram shows ‘normal’ coronaries Cardiac magnetic resonance confirms small transmural infarct in infero-lateral territory Medical management advised
December 2018	Presents with chest pain 12 h after running No significant ECG changes with slight troponin rise Angiogram shows no significant coronary lesion Cardiac magnetic resonance demonstrates acute subendocardial infarct superimposed on myocardial oedema Review of angiogram—Type 2b spontaneous coronary artery dissection in posterior left ventricular branch of the right coronary artery
March 2019	Agitated saline echocardiography normal CT angiogram form circle of Willis to popliteal arteries—no significant findings Negative Anticardiolipin antibody and Lupus anticoagulant