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He underwent cardiac catheterisation via the radial approach, which revealed a linear second obtuse marginal dissection. He was managed conservatively with medical therapy with a good outcome.<\/jats:p>","DOI":"10.1136\/bcr-2018-225932","type":"journal-article","created":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T09:58:02Z","timestamp":1533808682000},"page":"bcr-2018-225932","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous coronary artery dissection in a man with intense coughing spasms"],"prefix":"10.1136","volume":"2018","author":[{"given":"Juliet Aaferemwin","family":"Yirerong","sequence":"first","affiliation":[{"name":"Internal Medicine, Kent Hospital\/Brown University, Warwick, Rhode Island, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Hurlburt","sequence":"additional","affiliation":[{"name":"Cardiology, Kent Hospital\/Brigham and Women\u2019s Cardiovascular Associates of Care New England, Warwick, Rhode Island, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,8,9]]},"reference":[{"key":"2025082804443866000_2018.aug09_2.bcr-2018-225932.1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22115"},{"key":"2025082804443866000_2018.aug09_2.bcr-2018-225932.2","doi-asserted-by":"publisher","DOI":"10.1177\/2048872613504310"},{"key":"2025082804443866000_2018.aug09_2.bcr-2018-225932.3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.105718"},{"key":"2025082804443866000_2018.aug09_2.bcr-2018-225932.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2008.10.023"},{"key":"2025082804443866000_2018.aug09_2.bcr-2018-225932.5","unstructured":"Pretty HC . 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