Initial workup in the ED was notable for leukocytosis (white blood count of 11.86K cells/μL), elevated troponin I - high sensitivity (148.4 ng/L), elevated brain natriuretic peptide (3303 pg/mL), and elevated lactic acid (3.9 mmol/L), and electrocardiogram (ECG) showed sinus tachycardia with non-specific ST and T wave abnormalities. The gene discussed is NPPB; the disease is Increased total leukocyte count.