Question

A 64-year-old presents with exertional chest pain. ECG is nonischemic. High-sensitivity troponin T at 0 and 1 hour are 5 ng/L and 6 ng/L (delta <3 ng/L), both below the 99th percentile. He has no high-risk features. What is the most appropriate next step?

Accepted Answer

Discharge with outpatient testing and return precautions

Answer

Admit for invasive angiography within 24 hours

Answer

Administer fibrinolysis

Answer

Start dual antiplatelet therapy and anticoagulation

Answer

Obtain serial conventional troponin at 6 and 12 hours

Practice question

A 64-year-old presents with exertional chest pain. ECG is nonischemic. High-sensitivity troponin T at 0 and 1 hour are 5 ng/L and 6 ng/L (delta <3 ng/L), both below the 99th percentile. He has no high-risk features. What is the most appropriate next step?