A 67 year old man presented with a history of acute anterior myocardial infarction (AMI) 2 months ago that was treated with a stent in the left anterior descending coronary artery (LAD).
He was discharged from the hospital on aspirin, clopidogrel, enalapril, metoprolol and simvastatin. Five days after discharge he was readmitted with a new episode of precordial pain associated with profuse sweating and dyspnea. The admitting ECG showed new ST segment elevation in the anterior precordial leads.