RT Journal
A1 Bhave PD, Goldschlager N
T1 AN unusual pattern of st-segment elevation
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2011
FD July 11
VO 171
IS 13
SP 1146
OP 1146
DO 10.1001/archinternmed.2011.285
UL http://dx.doi.org/10.1001/archinternmed.2011.285
AB 
A 40-year-old man with methamphetamine-induced dilated cardiomyopathy was referred from clinic to the emergency department after having had an episode of chest pain during his clinic visit. The patient reported exertional chest discomfort, described as a pressure-like sensation accompanied by sweating. The discomfort resolved with rest and sublingual nitroglycerin. He admitted to recent methamphetamine use. His blood pressure was 136/70 mm Hg, and his heart rate was regular at 99 beats/min. The jugular venous pressure was mildly elevated, and an S3 gallop was audible at the apex. His initial troponin-I level was 0.10 ng/mL (normal, <0.10 ng/mL). An electrocardiogram (ECG) showed normal sinus rhythm and left ventricular hypertrophy with associated repolarization abnormalities.