A man in his sixties with acute chest pain.

Background: Chest pain is a frequent symptom of acute myocardial infarction, but the cause is not always coronary atherothrombosis. We present a case where the patient himself had made a correct non-cardiac diagnosis, but this was initially overlooked by the doctor.

Case Presentation: A man with a history of cardiac infarction was admitted with acute chest pain and troponin elevation.