Case Synopsis

A 42-year-old female lawyer enters your hospital with the following complaints/characteristics:

• 15 min central burning chest discomfort
• no relief with antacids; no recurrence
• prior hypertension treated with ACE inhibitors; no other medications
• ECG: T-wave inversion in leads I & AVL (otherwise normal); no voltage criteria for LVH
• CKMB & troponin negative 3 hours after pain
• Echo: LV function normal; mild LVH & minor mitral valve prolapse