Question

A 55-year-year-old with chest pain and a normal ECG has high-sensitivity troponin T 4 ng/L at 0 hours and 5 ng/L at 1 hour (delta +1 ng/L). She is low clinical risk. Best disposition?

Accepted Answer

Discharge with outpatient follow-up

Answer

Admit for invasive angiography

Answer

Stress test now in ED

Answer

Give fibrinolysis

Answer

Admit for serial conventional troponins

Practice question

A 55-year-year-old with chest pain and a normal ECG has high-sensitivity troponin T 4 ng/L at 0 hours and 5 ng/L at 1 hour (delta +1 ng/L). She is low clinical risk. Best disposition?