An elevated troponin doesn't always point to acute coronary syndrome—and recognizing when the diagnosis lies beyond the cardiac workup can be lifesaving. Through a compelling case review, this session will explore how anticholinergic toxicity can mimic cardiac pathology, highlighting key clinical features, mechanisms of non-ischemic troponin elevation, and strategies to distinguish toxidrome from true ischemia. You'll strengthen your diagnostic reasoning, recognize cognitive biases that contribute to premature diagnostic closure, and gain practical approaches to evaluating complex patients with greater confidence and precision.
