Douglas E. Drachman, M.D., David M. Dudzinski, M.D., J.D., Matthew P. Moy, M.D., Carlos Fernandez-del Castillo, M.D., and Jonathan H. Chen, M.D., Ph.D.
N Engl J Med 2017; 377:874-882August 31, 2017DOI: 10.1056/NEJMcpc1706111
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A previously healthy 32-year-old man presented with the sudden onset of postprandial chest pain, nausea, and diaphoresis. An electrocardiogram showed concave ST-segment elevations. A diagnosis was made.
This case was presented at the Medical Case Conference.
Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.
We thank Dr. Gaurav A. Upadhyay for contributions to the case history.
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From the Departments of Medicine (D.E.D., D.M.D.), Radiology (M.P.M.), Surgery (C.F.-C.), and Pathology (J.H.C.), Massachusetts General Hospital and the Departments of Medicine (D.E.D., D.M.D.), Radiology (M.P.M.), Surgery (C.F.-C.), and Pathology (J.H.C.), Harvard Medical School — both in Boston.