A 60-year-old with chest pain has normal ECG and serial high-sensitivity troponins at 0 and 2 hours below assay LoQ without significant delta. HEART s...

Question

A 60-year-old with chest pain has normal ECG and serial high-sensitivity troponins at 0 and 2 hours below assay LoQ without significant delta. HEART score is 2. What is the appropriate disposition?

Accepted Answer

Discharge with outpatient follow-up

Answer

Admit for invasive coronary angiography

Answer

Observe 24 hours with repeat conventional troponin

Answer

Start heparin infusion and admit

Answer

Perform stress testing before discharge in all cases

us-abem MCQ (SBA): Acute Chest Pain-hs-Troponin Pathway

A 60-year-old with chest pain has normal ECG and serial high-sensitivity troponins at 0 and 2 hours below assay LoQ without significant delta. HEART score is 2. What is the appropriate disposition?