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Which patient needs a CT scan?

Dr. Smith's ECG Blog

It was not SCAD (coronary dissection) Highest troponin I was 37,000 ng/L, but it was not measured to peak. Important: It is exceedingly rare for an anterior STEMI to be due to Aortic Dissection. And almost all of them could be detected by bedside ultrasound. Here it is: Type A Aortic Dissection Why was the troponin so elevated?