Outcome and follow up
Despite this medical management, the patient continued to have
persistent chest pain. During this follow up she developed Non ST-
Segment elevation myocardial infarction (STEMI), which is evidenced by
elevated troponin of 179 and 156 (elevated 4475 and 3900 times upper
limit of normal range ) and normal ECG. She was counseled for
re-vascularization therapy.