Question

A 52-year-old presents to the ED with intermittent chest pain. ECG is normal; serial high-sensitivity troponins are negative; HEART score 2. What is the best next step?

Accepted Answer

Discharge with outpatient follow-up and risk factor management

Answer

Admit for invasive coronary angiography

Answer

Urgent stress test before discharge

Answer

Start dual antiplatelet therapy for 12 months

Answer

Give fibrinolysis

Practice question

A 52-year-old presents to the ED with intermittent chest pain. ECG is normal; serial high-sensitivity troponins are negative; HEART score 2. What is the best next step?