ABSTRACT

A 72-year-old man developed central crushing chest pain whilst rushing to catch a train. The pain radiated to his left arm and up to his jaw. He complained of associated nausea and shortness of breath. He had not experienced similar episodes in the past. His past medical history included hypertension and prostate benign prostatic hyperplasia. His regular medications were amlodipine 10 mg OD and ramipril 2.5 mg OD. He was a retired optician, did not smoke and was independent for all activities of daily living.