ABSTRACT
A 48-year-old man presented to the emergency department complaining of chest pain. The pain was located over the centre of his chest and radiated to his left arm and up to his jaw. The pain was crushing in nature and the patient rated it as 10/10 in severity. There was associated nausea but no vomiting. The patient’s past medical history included hypertension and type-2 diabetes mellitus. His regular medications were metformin 1 g BD and ramipril 5 mg OD; he had no known drug allergies.
