A Case Of Presyncope In A Young Female Military Athlete

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A Case Of Presyncope In A Young Female Military Athlete - Page #3

Lab Studies: An initial cardiac troponin was elevated at 0.04 (normal < 0.03) with a 3 hour repeat value equivocal at 0.03. D-Dimer and CRP were within normal limits. Infectious workup with CBC, CMP, urinalysis, and CXR were non-contributory. Other Studies: ECG demonstrated T-wave inversions in inferior leads II, III, and aVF. Case Photo #1 Cardiac CTA (CCTA) demonstrated anomalous origin of the right coronary artery, originating from the left coronary cusp and coursing intra-arterially, with significant narrowing at the ostium-indicated by the intersection of the cross-sectional guidelines (blue and green lines) in the linked image. Case Photo #2 Consultations: Cardiology; CT Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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