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Troponin elevation to 1.00 ng/mL ( less then 0.01 ng/mL) warranted a cardiac angiography which revealed new-onset systolic heart failure with reduced ejection fraction with normal coronary vessels. A relatively rapid improvement in her clinical course suggested that a functioning tumor could be the underlying etiology. Diagnostic work-up for pheochromocytoma showed elevated metanephrine and normetanephrine. Subsequent surgical biopsy of the adrenal mass was consistent with pheochromocytoma. It was a rare case presentation of pheochromo
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