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. 2020 Sep 18;4(5):1–6. doi: 10.1093/ehjcr/ytaa319
Day 0 Young female with chest pain, acute coronary syndrome symptoms, postpartum Day 14, lab markers concerning for ischaemia, echo showing reduced left ventricular function
Day 1 Cardiac catheterization confirming dissection of three coronary vessels. Started on aspirin and heparin drip
Day 3 Loaded with clopidogrel after decision made to manage conservatively as patient refused coronary artery bypass graft
Day 5 Found to have fibromuscular dysplasia on screening computed tomography of chest, head, abdomen, and pelvis
Day 7 Discharged home on aspirin and clopidogrel for 12 months and subsequently aspirin only
6 months Doing well with no recurrence