Question

A 62-year-old with suspected acute coronary syndrome but nonischemic ECG and chest pain 4 hours ago has hs-cTn below LoD at 0 and 2 hours with no delta. HEART score 1. Next step?

Accepted Answer

Discharge with follow-up and return precautions

Answer

Admit for stress test

Answer

Start heparin infusion

Answer

Immediate coronary angiography

Answer

Start DAPT empirically

Practice question

A 62-year-old with suspected acute coronary syndrome but nonischemic ECG and chest pain 4 hours ago has hs-cTn below LoD at 0 and 2 hours with no delta. HEART score 1. Next step?