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Tongue in cheek
  1. A Alexoudis,
  2. A Spyridonidou,
  3. S Manousakis,
  4. A Thomaidi
  1. Department of Cardiology, Department of Anaesthesiology, Democritus University of Thrace, Orestiada, Greece
  1. Correspondence to Apostolos Alexoudis, Evripidou 55, Orestiada 68200, Greece; apocardio{at}

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A 38-year-old woman presented to the emergency department with retrosternal chest pain and changes in mental status. An electrocardiogram (ECG) showed normal sinus rhythm at 106 beats per minute, OTc interval of 398 milliseconds, ST-segment depression in leads II …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed