Abstract:A 56-year-old man presented to cardiology clinic with daily episodes of chest heaviness and discomfort. He underwent an echocardiogram, which showed no evidence of structural heart disease. An exercise nuclear stress test showed average functional capacity and normal perfusion. Because of his daily symptoms, the patient wore a 24-hour Holter monitor ( Figure 1A), which showed multiple episodes of T-wave inversions ( Figure 1B), inconsistently associated with his symptoms of chest tightness. Because of these sy… Show more
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