PT  - JOURNAL ARTICLE
AU  - Annabathula, Rahul
AU  - Chen, Wengen
AU  - Jerome, Scott
TI  - High-Sensitivity Troponin Elevation in a Young Woman with Typical Chest Pain: The Heart of the Matter
AID  - 10.2967/jnmt.125.269733
DP  - 2025 Jun 01
TA  - Journal of Nuclear Medicine Technology
PG  - 169--171
VI  - 53
IP  - 2
4099  - http://tech.snmjournals.org/content/53/2/169.short
4100  - http://tech.snmjournals.org/content/53/2/169.full
SO  - J. Nucl. Med. Technol.2025 Jun 01; 53
AB  - In the era of high-sensitivity troponin, minor elevations are often attributed to noncardiac etiologies. However, in patients who present with characteristic symptoms, any troponin elevation is concerning. We detail a case of a 37-y-old woman who presented to an outside hospital with typical chest pain and had a mild elevation in high-sensitivity troponin. Given her overall stability, she was discharged with outpatient cardiology follow-up. 82Rb PET/CT myocardial perfusion imaging test demonstrated a large, reversible anteroseptal perfusion defect. Coronary angiography revealed severe (80%) stenosis in the proximal left anterior descending artery treated with a single stent. This case highlights the need to have a high index of suspicion in young people with minor troponin elevations and pursue timely imaging.