Chest pain in the emergency room-an interesting case presentation

A 61‐year‐old woman presented to the emergency room with atypical chest pain, non‐diagnostic electrocardiogram, and an initial troponin level that was normal. A coronary computed tomography angio (CCTA) was performed, and on initial review, it appeared to be normal. Subsequent review including evalu...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2016-12, Vol.33 (12), p.1911-1912
Main Author: Turner, Michael C.
Format: Article
Language:English
Subjects:
chest pain
Chest Pain - diagnosis
Chest Pain - etiology
computed tomography (CT)
Coronary Angiography - methods
coronary artery disease
Coronary Thrombosis - complications
Coronary Thrombosis - diagnosis
Diagnosis, Differential
Electrocardiography
Emergency Service, Hospital
Female
Humans
Imaging, Three-Dimensional
Middle Aged
Tomography, X-Ray Computed - methods
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Summary:A 61‐year‐old woman presented to the emergency room with atypical chest pain, non‐diagnostic electrocardiogram, and an initial troponin level that was normal. A coronary computed tomography angio (CCTA) was performed, and on initial review, it appeared to be normal. Subsequent review including evaluation of functional data from the retrospective scan identified a distal left anterior descending occlusion and an apical wall‐motion abnormality with no other evidence of heart disease. This case illustrates the complementary contribution of anatomic and functional data and serves to remind us that on rare occasions, what looks “normal” is not always normal.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.13370