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The ECG in Figure-1 was obtained from a previously healthy middle-aged man — who while performing his regular exercise routine, developed "slight" chest discomfort and "palpitations". CT coronaryangiogram — No obstructive coronary disease. CT coronaryangiogram showed no obstructive coronary disease.
Cardiology was consulted and the patient underwent coronaryangiogram which showed diffuse severe three-vessel disease. Episodes of angina over past couple of months had been progressive. Coronaryangiogram shows diffuse severe three-vessel disease. High sensitivity troponin I rose to peak at 2900 ng/L.
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