A 70-year-old man was brought to the emergency department becauseof syncope. He had a long history of type II diabetes treatedwith oral hypoglycemic agents but no history of heart disease,chest pain, shortness of breath, palpitations, retinopathy,neuropathy, nephropathy, hypertension, hyperlipidemia, or smokingand no history of heart disease in the family. During the nightbefore his admission, he awoke with mild chest pain that lasted30 minutes and subsided spontaneously. He then went back tosleep. Shortly after waking in the morning, the patient collapsedsuddenly and was brought to the hospital.
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