CocaineComparison with Previous ECGCT Coronary Angiogram (CTCA)False positive ECGPrevious ECGQueen knows false positivetype 2 MIVasospasm8 Min Read Steve SmithonMarch 21, 2026 Acute chest pain and ST Elevation. Take a moment to look through the chart! A 40-something man presented with with 10/10 chest pain after cocaine use. The chest pain had been present for 1 hour. On arrival in the ED, a…