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It was a perfect fall day for a run—sunny and cool—at a particularly stressful time in my life. Running in a nearby nature preserve offered both quiet reflection and a welcome opportunity to refocus thought. Then, without warning, I began experiencing symptoms of heart trouble.

A while back, I woke in the middle of the night; my breathing was difficult, and I had sharp chest pains.

On a mountain hike last summer, I experienced this transformation of thought out of darkness into light. While on the trail, I began to feel faint and thought I might pass out.