Case Presentation: A previously healthy 39-year-old female presented with symptoms of nausea, vomiting, generalized fatigue, and lightheadedness for a couple of days. The physical examination was unremarkable. Labs showed an elevated N-terminal pro-BNP, troponin T, and C-reactive protein. A urine drug screen was positive for amphetamines. ECG initially showed mild sinus tachycardia and right bundle-branch [...]