This is a case report of a patient with chest pain who had normal non invasive investigations at various occasions. He was put on anti anginal therapy and advised follow up. More invasive investigations were not carried out at that time because of negative exercise tolerance test (FTT ). Patient had repeated visits with atypical chest pain and no electrocardiogram (ECG) evidence of ischemia during pain or during FIT. At one such visits patient was advised Trop-T that turned out to be positive. Coronary angiogram was advised and that revealed critical disease in his Left circumflex coronary artery (Cx). It was treated with intra coronary stents, and patient became symptom free. This is one of those cases with normal ECG during ischemic anginal episodes and normal ECG during exercise induced ischemia.