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A 45-year-old man was admitted to the ED because of an acute retrosternal chest pain which prolonged for 20 min. He was overweight and a regular smoker. When admitted the pain had disappeared and the physical examination remained normal. The ECG was normal (figure 1). The ultrasensitive T troponin remained negative (H0 and H+3). He was treated for a non-ST elevation myocardial infarction and transferred …
Contributors All the three authors wrote the case.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.