A 58-year-old with typical chest pain presents to the ED 2 hours after onset. ECG is nondiagnostic; high-sensitivity troponin is normal at 0 hours. Wh...

Question

A 58-year-old with typical chest pain presents to the ED 2 hours after onset. ECG is nondiagnostic; high-sensitivity troponin is normal at 0 hours. What is the recommended next step using guideline-directed algorithms?

Accepted Answer

Obtain a repeat high-sensitivity troponin at 1-3 hours as part of a validated pathway

Answer

Discharge with no further testing

Answer

Proceed directly to invasive coronary angiography

Answer

Order exercise treadmill testing immediately

Answer

Start empiric anticoagulation for all chest pain

Acute Chest Pain Evaluation — MRCEM SBA MCQ

A 58-year-old with typical chest pain presents to the ED 2 hours after onset. ECG is nondiagnostic; high-sensitivity troponin is normal at 0 hours. What is the recommended next step using guideline-directed algorithms?