I presented “More Than A Heartache,” a great case of Takayasu Arteritis at Internal Medicine Grand Rounds yesterday with Cardiology, Radiology, and Rheumatology discussants! It was a special Valentines CPC edition! 💖 This was a woman in her 30s presenting many times in one year for chest pain with elevated troponin. Prior left heart cath had clean coronary arteries. Her chest pain resolved by itself after a couple of hours, but she had differential upper extremity blood pressures (RUE 140/80, LUE 80/60). Ultimately, after CTA imaging, we made the diagnosis of Takayasu Arteritis, a rare large vessel vasculitis with an incidence of only 2.6 cases per million per year in North America!