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A 30-something with Chest pain, elevated troponin, with Subtle ST Elevation and hyperacute T-waves.

Dr. Smith's ECG Blog

No angiographically significant obstructive coronary artery disease. CT coronary angiogram is excellent , but is rarely available outside of business hours, and hardly ever at night. Here is the report: Cath lab activation at 3 am by the ED for atypical CP, and elevated troponin with diffuse STT changes.