Symptoms of angina pectoris can present with the typical specific symptoms, which are easy to recognize, or vague symptoms like chills, nausea, dizziness, belching and mild chest pain. Both the typical and atypical forms of angina symptoms may rarely be associated with or masked by predominantly extra cardiac manifestations, which are occasionally referred to the abdomen. We report here an unusual presentation of angina. A 62 years old male who had been healthy all his life, presented at Sultan Qaboos University, Oman, with a two month history of belching episodes as the chief and the only complaint. He was found to have angina pectoris, although there were no classical symptoms or signs to suggest it. He was treated successfully by surgery. It is concluded that belching can be a presenting symptom of angina