Catch the Ta Wave: A Source of ST-Segment Elevation

In modern health care systems, hospital performance is measured by early recognition of myocardial infarction and door-to-balloon time. Yet, it is important to remember that acute coronary occlusion is not the only cause of ST-segment elevation. Misdiagnosis can lead to unnecessary treatment and possible complications that otherwise could be averted. Here, Srour and Hyder present their assessment and management of a 62-year-old man with dyslipidemia and a family history of premature coronary disease presented with constant nonexertional, nonpleuritic, left-sided chest pain.