Case presentation A 27-year-old male university student arrived at the emergency department after experiencing a sudden episode of sharp chest pain that persisted for about an hour. The discomfort radiated into his left arm but was not accompanied by breathlessness, palpitations, or sweating. By the time of evaluation, his symptoms had subsided. He recalled having had a few similar, short-lived episodes over the past several months.
He reported no history of smoking, recreational drug use, or cardiovascular disease in the family. Initial examination Vital signs: Stable Cardiovascular, respiratory, and systemic examinations: Unremarkable ECG (Figure 1) Tall R waves in aVF and V2–V6 Deep S waves in aVR Giant, deeply inverted T-waves in V2–V6, I, aVL, II, III, and aVF Normal cardiac axis Figure 1 : ECG showing giant T-wave inversions. Source: Curues Laboratory findings Serial troponins and…
