Question

A 52-year-old man presents with 3 hours of non-exertional chest pain. ECG is nonischemic. High-sensitivity troponin T at 0 hours is 6 ng/L (URL 19), and the 1-hour value is 6 ng/L (Δ 0). He has no high-risk features and HEART score is 2. Best next step?

Accepted Answer

Discharge with outpatient follow-up and return precautions

Answer

Admit for invasive coronary angiography

Answer

Start IV nitroglycerin and heparin infusion

Answer

Give thrombolytics immediately

Answer

CT coronary angiography before discharge

Practice question

A 52-year-old man presents with 3 hours of non-exertional chest pain. ECG is nonischemic. High-sensitivity troponin T at 0 hours is 6 ng/L (URL 19), and the 1-hour value is 6 ng/L (Δ 0). He has no high-risk features and HEART score is 2. Best next step?