TY - JOUR T1 - An unusual cause of a non-ST segment elevation myocardial infarction JF - Heart JO - Heart SP - 1619 LP - 1619 DO - 10.1136/heartjnl-2014-305865 VL - 100 IS - 20 AU - Rebecca D Levit AU - Marek Polomsky AU - J David Vega AU - David R Martin AU - Gautam Kumar Y1 - 2014/10/15 UR - http://heart.bmj.com/content/100/20/1619.abstract N2 - A 66-year-old man presented with dull, left-sided chest pain for 1 week occurring mainly at rest. The symptoms had been present for 1 month but had increased in frequency over the preceding 3 days. He became acutely short of breath with substernal chest pain while climbing a flight of stairs the day of admission. The pain was pressure-like, did not radiate and was associated with presyncope, but not syncope, diaphoresis, nausea nor vomiting. He had no past medical history of cardiac disease but did have risk factors for coronary artery disease (CAD) including hypertension, history of smoking and the metabolic syndrome. His past medical history was also significant for non-Hodgkin's stage IV … ER -