A 58-year-old with 2 hours of pressure-like chest pain has normal ECG and is hemodynamically stable. The ED uses high-sensitivity cardiac troponin (hs...

Question

A 58-year-old with 2 hours of pressure-like chest pain has normal ECG and is hemodynamically stable. The ED uses high-sensitivity cardiac troponin (hs-cTn). What is the most appropriate initial diagnostic approach to safely rule out myocardial infarction?

Accepted Answer

Serial hs-cTn using a validated 0/1-hour algorithm with repeat ECGs

Answer

Single conventional troponin at 6 hours after presentation

Answer

Immediate stress echocardiography before biomarkers

Answer

Routine CT coronary angiography on arrival

Answer

Immediate invasive coronary angiography

Acute Coronary Syndrome Evaluation — MRCEM SBA MCQ

A 58-year-old with 2 hours of pressure-like chest pain has normal ECG and is hemodynamically stable. The ED uses high-sensitivity cardiac troponin (hs-cTn). What is the most appropriate initial diagnostic approach to safely rule out myocardial infarction?