A 55-year-old with suspected ACS but nondiagnostic ECG has ongoing chest pain. High-sensitivity troponin at 0 and 2 hours is below rule-out threshold ...

Question

A 55-year-old with suspected ACS but nondiagnostic ECG has ongoing chest pain. High-sensitivity troponin at 0 and 2 hours is below rule-out threshold with no delta change. HEART score 2. Next step?

Accepted Answer

Discharge with follow-up and return precautions

Answer

Admit for cath

Answer

Thrombolysis

Answer

DAPT indefinitely

Answer

No follow-up required

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

A 55-year-old with suspected ACS but nondiagnostic ECG has ongoing chest pain. High-sensitivity troponin at 0 and 2 hours is below rule-out threshold with no delta change. HEART score 2. Next step?