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The perils of exercise: acute myocardial infarction due to spontaneous coronary dissection during weightlifting
  1. James Stewart1,
  2. Alice Sarah Mason1,
  3. Roby Rakhit1,
  4. Deven Patel2
  1. 1Department of Cardiology, Royal Free Hospital, London, UK
  2. 2Department of Cardiology, Barnet & Chase Farm Hospital, London, UK
  1. Correspondence to Alice Sarah Mason, Flat 15 Simon Court, 16 Saltram Crescent, London W9 3JA, UK; alicemason{at}

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A 22-year-old man presented to our District General Hospital with a 17-h history of dull central chest pain. The pain developed suddenly following weightlifting. He denied any cardiac risk factors, nor the use of illicit or performance enhancing drugs. His admission ECG demonstrated widespread ST segment changes with deep T wave inversion in the anterior chest leads. His troponin I at admission was 3.7 µg/L. An echocardiogram showed anterior hypokinaesia and he was treated …

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