We present the case of a 72-year-old patient, with multiple cardiovascular risk factors, investigated for exertional dyspnea. The diagnostic workup led to a percutaneous coronary intervention. During the procedure, catheter-induced iatrogenic coronary artery dissection (CICAD) resulted in cardiorespiratory arrest. This article reviews the key elements and the risk assessment at each step of the diagnostic strategy of stable coronary syndromes in accordance to the latest 2019 European Society of Cardiology guidelines.
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