Clinical Question – 13

30-year-old woman presents to emergency department with left-sided chest pain, catching her on deep inspiration, present for 10 hours, and associated with breathlessness. Examination shows a heart rate of 100 bpm, BP 100/60, Po2 of 95% and an otherwise unremarkable cardiorespiratory examination. Her ECG shows pan-anterior T wave inversion, and her troponin is 1.5 (upper normal limit, 0.05). The most likely diagnosis is which of the following?

A Acute coronary syndrome
B Pulmonary embolism
C Takotsubo Cardiomyopathy
D Myocarditis


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