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Acute coronary syndrome remains the primary cause of mortality and morbidity in the United States. Cardiac ischemia is a consequence of an imbalance between oxygen demand and supply. The sensitivity of troponin is above 99% in diagnosing cardiac injury; rare exceptions can occur, however. We present a case of acute coronary syndrome with a negative troponin level, even on repeated testing using different methods at two different centers.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976509PMC
http://dx.doi.org/10.7759/cureus.34377DOI Listing

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