A 52-year-old smoker (30 pack-years) with normal stress test 3 months ago presents with atypical chest pain. Serial hs-cTn values are below LoQ with n...

Question

A 52-year-old smoker (30 pack-years) with normal stress test 3 months ago presents with atypical chest pain. Serial hs-cTn values are below LoQ with no delta; ECGs are normal. HEART score 2. What is the best disposition?

Accepted Answer

Discharge with timely outpatient follow-up

Answer

Admit for observation and invasive angiography

Answer

Start heparin and admit to telemetry

Answer

Mandatory stress imaging before discharge

Answer

CT coronary angiography now for all low-risk patients

us-abem MCQ (SBA): Acute Chest Pain-Disposition

A 52-year-old smoker (30 pack-years) with normal stress test 3 months ago presents with atypical chest pain. Serial hs-cTn values are below LoQ with no delta; ECGs are normal. HEART score 2. What is the best disposition?