Blast from the past. It is possible to diagnose a myocardial infarction without testing from serum troponin

The diagnosis of acute myocardium infection is typically that of anginal type chest pain accompanied by ECG changes and an increase in serum troponin levels. However, there are often atypical presentations, especially in women. We present a case of a middle-aged woman with severe prolonged vomiting in whom the diagnosis of myocardial function was not made at the initial presentation.