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To the Editor: We read with interest the article by Murphy et al on the importance of ST elevation on the exercise ECG.1 In this article, the authors suggest that severe coronary artery stenosis was an almost exclusive cause for ST elevation during exercise in a white population. Just a few days after I read this article, a patient came to my office who was referred for coronary angiography as a result of ST elevation on exercise electrocardiography (ECG). The patient was …