A 54-year-old woman, active smoker, presented to the emergency department (ED) because of chest pain and shortness of breath. Both the blood test for myocardial enzymes and the electrocardiogram supported… Click to show full abstract
A 54-year-old woman, active smoker, presented to the emergency department (ED) because of chest pain and shortness of breath. Both the blood test for myocardial enzymes and the electrocardiogram supported the diagnosis of acute coronary syndrome. During the clinical evaluation, an abrupt onset of neurological deficit (aphasia and right hemiplegia) occurred and the consultant neurologist graded it as severe National
               
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