Abstract
A 44-year-old man was evaluated because of new-onset chest pain. The patient reported that 4 days earlier, at a stressful out-of-town business meeting, he had experienced anterior chest pain while sitting. It improved when he lay on his side. The pain was steady for 1 hour, then intermittent for several hours. The patient went the same day to an ambulatory care clinic, where an electrocardiogram (ECG) and chest x-ray were said to be normal, and an antacid was prescribed. The chest pain recurred the following day while he was running on a treadmill, but did not return during a 30-minute run the morning I initially examined him.
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