Anomalous left anterior descending artery: an uncommon cause of ST elevation myocardial infarction.

A healthy 32-year-old Asian man presented in emergency with a history of severe chest pain. ECG showed normal sinus rhythm with ST elevations in the anterior chest leads. He was diagnosed with anterior wall ST segment elevation myocardial infarction and was thrombolysed with tenecteplase.

Arrhythmias are not to blame for all cardiac syncope patients: left atrial myxoma causing syncope in a middle-aged man.

A 47-year-old man presented with a history of syncope that lasted for 3 min and was not accompanied by jerky movement of limbs or incontinence. After regaining consciousness, he felt generalised weakness. There was no history of chest pain or palpitation.