Abstract
A 50-year-old male chronic smoker and diabetic presented to the emergency department with complaints of retrosternal chest pain for 3 hours duration. He did not give any history of angina or dyspnea on exertion in the past. On examination, his pulse rate was 75 per min, and his blood pressure was 130/80 mmHg. Cardiac and chest auscultation were within normal limits. Troponin I was elevated. Echocardiography showed lateral wall hypokinesia with an ejection fraction of 45%-50% (Video 1). An electrocardiogram was performed, which showed J point depression, with downsloping ST-segment depression in leads V2-V4, prominent upright T waves originating below the isoelectric line.
Published Version
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