A 30-year-old healthy female patient with history of unexplained sinus tachycardia presented to the emergency department with chest pain, palpitations, and headache. The patient did not have any signs of heart failure on exam. Serial cardiac enzymes revealed a troponin elevation up to 2.78 ng/dl. Treatment with aspirin, clopidogrel and intravenous heparin was initiated for suspected non-ST-segment elevation myocardial infarction.
An echocardiogram showed hypokinesis of the basal segments of the left ventricle with preserved apical contractility and estimated left ventricular ejection fraction (LVEF) of 30%. Coronary angiography did not reveal obstructive coronary artery disease. *This case is from the Editorial team of Docplexus and is meant for educative purposes only.
