ABSTRACT
A 61-year-old man is referred to the outpatient department at his local hospital with a two-month history of episodic chest pain. The pain is central and radiates to the patient’s neck and sometimes to his left arm. The pain is brought on by moderate exertion, such as running up stairs or running for a bus and subsides spontaneously after a few minutes of rest. There are no associated symptoms and the patient has previously been fit and well. Examination is normal.
