Authors : Natalia Cabrera Almonte, Elona Malja, Arzu Canan*
A 61-year-old woman with acute encephalopathy and acute cholecystitis,
was found to have elevated troponin (high-sensitive troponin: 978 ng/L; >52
ng/L: abnormal), regional wall motion abnormality of mid anterior and septal
segments and 50% LVEF on transthoracic echocardiography (Movie 1), without
EKG changes. Patient denied chest pain, shortness of breath or palpitation.
Subsequent CTA demonstrated no coronary artery disease.