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A 39-year-old man with a history of smoking, alcohol abuse, and cocaine use but no other medical problems presented to the emergency department with frequent episodes of chest pain, shortness of breath, and diaphoresis while at rest. The episodes of chest pain usually awakened him early in the morning and lasted a few minutes. Toxicologic screening on admission to the hospital was negative for alcohol and for controlled substances. During an episode of angina, transient ST-segment elevation (in lead II) was noted on continuous telemetry (Panel A). Video A is a continuous telemetric recording demonstrating dynamic ST-segment elevation over a . . . [Full Text of this Article] |
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