Abstract

Although the presence of ST-segment elevations on a 12-lead electrocardiogram (ECG) is concerning for an acute coronary syndrome, it is essential to work up additional diagnostic possibilities beyond the most obvious. Herein we present a case of a 71-year-old woman with a history of hypertension, hyperlipidemia, myelofibrosis s/p allogeneic stem cell transplant (2019) complicated by graft-versus-host-disease admitted for nausea, epigastric discomfort, chest pressure, and shortness of breath. Her medications included amlodipine, losartan, simvastatin, tacrolimus, ruxolitinib, and methylprednisolone.

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