Middle-aged guy comes in complaining of chest pain.
He had been sitting down to a nice recuperative meal after running a leg in a relay race. ED work-up reveals elevated troponin and some signs of mild dehydration and thus is admitted for monitoring overnight.
When he gets to the floor he tells us that he actually started to have chest pain while he was running, but at the end of his leg, it went away. Usual suspects: male, age in 50’s, ex-smoker, overweight – check to all of them. Then he drops the bomb: he’s had a stent before. After he had “mild” heart attack 5 years ago across the country. And what was he doing then? Running a half-marathon!
Having flash-backs to Jim Fixx as we’re hanging Integrillin and heparin. He goes to the cath lab and we go home.
I just wish I could have shared a word of advice: maybe running isn’t your thing!
Lost on the Floor 
Actually, I’d say that maybe smoking and over eating aren’t his thing and he should find new hobbies to replace those.
And keep up the running!! It’s probably the only reason he hasn’t dropped dead face first into a plate of deep fried corn fritters.
Actually I was thinking something like cycling or swimming – less impact?
Yeah! He must have fallen through the cardiac rehab crack after his heart attack.