Question

A 54-year-old with exertional chest pain and normal ECG presents to the ED 2 hours after onset. hs-cTnI at 0 and 2 hours are both below the assay's limit of detection and unchanged; HEART score = 2. Best next step?

Accepted Answer

Discharge with outpatient follow-up and return precautions

Answer

Admit to telemetry for 24-hour serial enzymes

Answer

Immediate coronary angiography

Answer

Stress testing before discharge is mandatory

Answer

Start IV heparin now

Practice question

A 54-year-old with exertional chest pain and normal ECG presents to the ED 2 hours after onset. hs-cTnI at 0 and 2 hours are both below the assay's limit of detection and unchanged; HEART score = 2. Best next step?