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A 22-year-old man presented to our District General Hospital with a 17-h history of dull central chest pain. The pain developed suddenly following weightlifting. He denied any cardiac risk factors, nor the use of illicit or performance enhancing drugs. His admission ECG demonstrated widespread ST segment changes with deep T wave inversion in the anterior chest leads. His troponin I at admission was 3.7 µg/L. An echocardiogram showed anterior hypokinaesia and he was treated …
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