Cases from the aerospace medicine residents' teaching file. Case report of an aviator with focal myocarditis mimicking myocardial infarction with normal coronaries.

A military aviator was initially diagnosed with myocardial infarction following a viral syndrome. Confusion about recurrence of chest pain versus gastritis led to his continued cardiac patient status until this was clarified diagnostically. He was presumed to have had coronary vasospasm, and was treated with a calcium channel blocker.