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Spinal anterior artery territory infarction simulating an acute myocardial infarction
  1. A Serrano-Pozo1,
  2. G Sanz-Fernández1,
  3. E Martínez-Fernández1,
  4. J Nevado-Portero2
  1. 1Department of Neurology, University Hospital Virgen del Rocío, Seville (Spain)
  2. 2Department of Cardiology, University Hospital Virgen del Rocío, Seville (Spain)
  1. Correspondence to:
 Alberto Serrano Pozo
 Plaza Ruiz de Alda n°7 10°D, 41004 Seville (Spain);

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A 59 year old man with history of smoking, hypertension, diabetes mellitus, and hypercholesterolemia presented suddenly with numbness and weakness of both upper limbs. A few minutes after that he felt an intense and oppressive chest pain accompanied by profuse diaphoresis, severe hypotension, bradycardia, and low level of consciousness. No elevated damage cardiac markers or electrocardiographic changes were registered. Aortography ruled out an aortic dissection whereas coronary angiography showed a moderate stenosis in the …

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  • Competing interests: none declared

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