Affiliation:
1. Department of Internal Medicine, Franciscus Gasthuis and Vlietland Hospital, Rotterdam/Schiedam, the Netherlands
Abstract
A 60-year-old patient with a history of lumbar spinal stenosis had 2 months of chest pain and shortness of breath with exertion and 3 months of toe numbness. Laboratory testing showed elevated levels of high-sensitivity troponin, brain-type natriuretic peptide, aspartate aminotransferase, and alanine aminotransferase; bone scintigraphy showed increased cardiac uptake. What is the diagnosis and what would you do next?
Publisher
American Medical Association (AMA)