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

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

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?