A 45-year-old with nonischemic chest pain has a HEART score of 2 and two negative high-sensitivity troponins 3 hours apart. ECG is normal. According t...

Question

A 45-year-old with nonischemic chest pain has a HEART score of 2 and two negative high-sensitivity troponins 3 hours apart. ECG is normal. According to the chest pain guideline, the best disposition is:

Accepted Answer

Discharge with outpatient follow-up; no immediate testing needed

Answer

Admit for observation and stress testing before discharge

Answer

Perform immediate invasive coronary angiography

Answer

Order an inpatient CCTA

Answer

Schedule urgent treadmill ECG test prior to discharge

us-usmle-step-2 MCQ (SBA): Chest Pain Risk Stratification

A 45-year-old with nonischemic chest pain has a HEART score of 2 and two negative high-sensitivity troponins 3 hours apart. ECG is normal. According to the chest pain guideline, the best disposition is: