Question

A 45-year-old presents to the ED with chest pain. ECG is nonischemic; two high-sensitivity troponins 3 hours apart are below the 99th percentile and unchanged. HEART score is 2. What is the recommended next step?

Accepted Answer

Discharge with timely outpatient follow-up and risk factor management

Answer

Admit for routine stress testing

Answer

Immediate invasive coronary angiography

Answer

Begin dual antiplatelet therapy and admit

Answer

Obtain CT pulmonary angiography

Practice question

A 45-year-old presents to the ED with chest pain. ECG is nonischemic; two high-sensitivity troponins 3 hours apart are below the 99th percentile and unchanged. HEART score is 2. What is the recommended next step?