One patient — many faces of myocardial ischaemia

Abstract

We present the case of a woman treated with coronary angioplasty due to non-ST segment elevation myocardial infarction,then again because of restenosis, who continued to complain of chest pain and syncope. Holter electrocardiogram recordingrevealed atrioventricular block related to ST-segment elevations and variant angina was diagnosed. Despite administeredmedications, the patient required pacemaker implantation.