Question

A 68-year-old with chest pain has high-sensitivity troponin I values at 0 and 1 hour: 36→59 ng/L (delta +23 ng/L; above 99th percentile). ECG shows no ST-elevation. What is the appropriate next step per guideline-based pathways?

Accepted Answer

Treat as non-ST-elevation acute coronary syndrome with early invasive strategy

Answer

Discharge now; delta <50 ng/L

Answer

Repeat hs-cTn at 6 hours only

Answer

Start fibrinolysis immediately

Answer

Ignore troponin due to normal ECG

Practice question

A 68-year-old with chest pain has high-sensitivity troponin I values at 0 and 1 hour: 36→59 ng/L (delta +23 ng/L; above 99th percentile). ECG shows no ST-elevation. What is the appropriate next step per guideline-based pathways?