TY - JOUR T1 - A 70-year-old man with dyspnoea and diastolic murmur JF - Heart JO - Heart SP - 238 LP - 238 DO - 10.1136/heartjnl-2015-308230 VL - 102 IS - 3 AU - Jan Ohlig AU - Tobias Zeus AU - Malte Kelm AU - Amin Polzin Y1 - 2016/02/01 UR - http://heart.bmj.com/content/102/3/238.abstract N2 - A 70-year-old Caucasian man presented at our chest pain unit due to progressive dyspnoea. Physical examination revealed an obese male with a quiet diastolic murmur. Cardiovascular risk factors were arterial hypertension, insulin-dependent diabetes mellitus and 70 pack-year smoking history. Inverted T waves were seen on ECG in I, V5, V6 and high sensitive troponin T (hsTnT) level was elevated (hsTnT max. 91 ng/L (cut-off <14 ng/L)). Urgent coronary angiography was performed and occlusive coronary artery disease was ruled out. Further examination by chest X-ray was unrevealing. Spirometry … ER -