Question

A 63‑year‑old man with AF presents with chest pain and a non‑ischemic ECG. hs‑cTn at 0 and 1 hour are unchanged and below the 99th percentile; HEART score is 2. What is the best disposition?

Accepted Answer

Discharge with outpatient follow‑up and risk factor management

Answer

Admit for serial conventional troponins

Answer

Order immediate coronary CT angiography

Answer

Stress testing before discharge is mandatory

Answer

Start empiric dual antiplatelet therapy

Practice question

A 63‑year‑old man with AF presents with chest pain and a non‑ischemic ECG. hs‑cTn at 0 and 1 hour are unchanged and below the 99th percentile; HEART score is 2. What is the best disposition?