A 54-year-old presents 2 hours after chest pain onset. ECG is normal. Initial high-sensitivity troponin I is below the 99th percentile. According to c...

Question

A 54-year-old presents 2 hours after chest pain onset. ECG is normal. Initial high-sensitivity troponin I is below the 99th percentile. According to current guidance, what is the most appropriate next step?

Accepted Answer

Repeat high-sensitivity troponin in 1-3 hours as part of a validated algorithm

Answer

Discharge now without further testing

Answer

Order a CK-MB level

Answer

Immediate coronary angiography

Answer

Begin empiric anticoagulation and P2Y12 inhibitor

us-usmle-step-2 MCQ (SBA): Acute Coronary Syndrome Evaluation

A 54-year-old presents 2 hours after chest pain onset. ECG is normal. Initial high-sensitivity troponin I is below the 99th percentile. According to current guidance, what is the most appropriate next step?