A 66-year-old with chest pain has two negative high-sensitivity troponins on the local pathway and a non-ischaemic ECG. During observation, she develo...

Question

A 66-year-old with chest pain has two negative high-sensitivity troponins on the local pathway and a non-ischaemic ECG. During observation, she develops dynamic ST depression. What is the most appropriate next action?

Accepted Answer

Escalate for acute coronary syndrome assessment

Answer

Arrange routine follow-up for possible non-cardiac pain

Answer

Diagnose non-cardiac pain without further review

Answer

Give thrombolysis for all ST depression

Answer

Repeat troponin at six hours before cardiology referral

Chest Pain (disposition) — MRCEM SBA MCQ

A 66-year-old with chest pain has two negative high-sensitivity troponins on the local pathway and a non-ischaemic ECG. During observation, she develops dynamic ST depression. What is the most appropriate next action?