A case history of a 46-year-old Negro male was presented with rheumatic aortic insufficiency, angina pectoris, and possible subacute bacterial endocarditis. While hospitalized, the patient developed angina pectoris associated with micturition. This was not accompanied by a change in blood pressure, pulse, or increase in respiratory rate. The striking similarity to a description of a case approximately 300 years ago is pointed out and possible mechanisms of this association of angina and micturition are considered.