Exercise-induced ST elevation with minimal ischemia by perfusion imaging
A 66-year-old African-American man with history of hypertension, hyperlipidemia, pulmonary embolism, tobacco use, and cocaine abuse over a year ago presented with resting chest pain that lasted 15 minutes and recurred after 45 minutes. The pain was sharp, left sided, and radiated to the left arm but without dyspnea, diaphoresis, or palpitations. The pain resolved spontaneously without intervention upon his arrival to the emergency department.
His medications included atorvastatin, spironolactone, and warfarin. The physical examination was normal. The electrocardiogram and serial serum troponin levels were normal.
All authors declare that they have no conflict of interest.