Abstract
Mr Lee, a 54-year-old businessman was brought to the A & E, HTAA due to severe retrosternal pain. The pain was persistent, associated with dyspnoea and not relieved by rest. He had a few episodes of vomiting without blood. He admitted having mild chest discomfort and reduced effort tolerance over the last few months. He is a known case of essential hypertension and has been on haphazard follow-up for the last 5 years. He has been a chronic heavy smoker and social drinker for the past 30 years.
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