A 54-year-old presents with 3 hours of non-exertional chest discomfort. ECG is nonischemic. Initial high-sensitivity troponin is normal. HEART score i...

Question

A 54-year-old presents with 3 hours of non-exertional chest discomfort. ECG is nonischemic. Initial high-sensitivity troponin is normal. HEART score is 2. What is the most appropriate next step?

Accepted Answer

Use a structured clinical decision pathway with serial high-sensitivity troponins to rule out MI

Answer

Immediate stress testing before repeat biomarkers

Answer

Administer fibrinolytic therapy

Answer

Admit for invasive coronary angiography

Answer

Discharge without further evaluation

us-usmle-step-2 MCQ (SBA): Chest Pain Risk Stratification

A 54-year-old presents with 3 hours of non-exertional chest discomfort. ECG is nonischemic. Initial high-sensitivity troponin is normal. HEART score is 2. What is the most appropriate next step?