A 45-year-old with low-risk chest pain (normal ECG, no ischemic features) has high-sensitivity troponin T values of 5 ng/L at 0 hour and 5 ng/L at 1 h...

Question

A 45-year-old with low-risk chest pain (normal ECG, no ischemic features) has high-sensitivity troponin T values of 5 ng/L at 0 hour and 5 ng/L at 1 hour (no delta). What is the best disposition?

Accepted Answer

Discharge with outpatient follow-up and risk factor counselling

Answer

Admit to telemetry for 24-48 hours of monitoring

Answer

Perform immediate stress testing in the ED

Answer

Start IV heparin and aspirin and admit

Answer

Repeat troponin at 6 hours and admit regardless of result

us-abem MCQ (SBA): Chest Pain Risk Stratification

A 45-year-old with low-risk chest pain (normal ECG, no ischemic features) has high-sensitivity troponin T values of 5 ng/L at 0 hour and 5 ng/L at 1 hour (no delta). What is the best disposition?