I had a very strange case today and I was wondering if anyone has ever heard anything similar. The patient was a 23 yo female who presented with CP and abd. pain. The pt was holding her chest and very uncomfortable. She said the pain radiated to her left arm and left side of her face. She also had nausea. The patient had no cardiac medical history and her vitals were stable. She had gastric bypass 6 months ago. I thought she might be have a PE, but I didn't hear any murmer and her oxygen level was 99 percent on room air. I honestly didn't think she could be having an MI even with a history of obesity, but I pushed for a bed for her inside because she was so uncomfortable. The patient ended up having a troponin level of 30. Has anyone ever heard of anything similar?