An unusual case of coronary mimicry.

A 64-year-old man with no significant medical history was referred to the emergency department (ED) due to acute chest pain, suggestive of an acute coronary syndrome. Acetylsalicylic acid 500 mg and glyceryl trinitrate spray had been administered in the ambulance, and when the patient arrived in the ED the chest pain had subsided significantly. At presentation, he was markedly hypertensive (240/110 mm Hg). A first ECG (figure 1A) demonstrated left ventricular hypertrophy, but was otherwise unremarkable. However, since troponin T levels were slightly elevated (32 ng/L, …