2 Hours Of Acute in Medicine / Internal Medicine — 30yo Man | Cardiology | SMLE Q#315
SMLE Question #315
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 30-year-old man with no smoking history presents with 2 hours of acute central chest pain radiating to the left arm. Examination is unremarkable. A 12-lead ECG shows sinus rhythm without ST-segment elevation or T-wave inversion. High-sensitivity cardiac troponin I is above the 99th percentile. Which of the following is the most likely underlying cause of this patient’s presentation?
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