Elevated troponins are always of concern, especially in patients presenting with cardiogenic chest pain. However, not all instances of troponemia are secondary to an ischemic event. Other disease processes need to be considered. 41-year-old female with history of undifferentiated connective tissue disease with no family or personal history of cardiac disease presented to her local hospital, complaining of chest pain began 4 days prior while lying in bed after she woke up in the morning. The pain radiated to her neck. She went to the hospital after telling her cardiologist about her symptoms on the morning of admission. She also reported bilateral hand discoloration, turning purple from fingertips to palms without pain.
Elevated troponins are always of concern, especially in patients presenting with cardiogenic chest pain. However, not all instances of troponemia are secondary to an ischemic event. Other disease processes need to be considered. 41-year-old female with history of undifferentiated connective tissue disease with no family or personal history of cardiac disease presented to her local hospital, complaining of chest pain began 4 days prior while lying in bed after she woke up in the morning. The pain radiated to her neck. She went to the hospital after telling her cardiologist about her symptoms on the morning of admission. She also reported bilateral hand discoloration, turning purple from fingertips to palms without pain.