View source for Puzzle 2006 9 315 Answer

{{NHJ|
|mainauthor= '''A.A.M. Wilde, R.H.J. Peters'''
|edition= 2006:09,315
}}
[[Image:Puzzle_2006_9_315_fig1.jpg|Figure 1|thumb]]

A 63-year-old lady presented with episodic chest
pain without specific triggers (in particular no
relation with exercise). Physical examination revealed
no abnormalities. The ECG is shown in figure 1. An
echo was normal and so were the coronary arteries
upon coronary angiography. Her family history revealed
no coronary artery disease, sudden death,
epilepsia or syncope. She herself had never had a
syncopal episode either.

A causal reason for the chest pain could not be
identified. Coronary artery disease seems unlikely. The
abnormalities on the ECG persisted during the admission
period which lasted a couple of days.


'''What to do?'''