A 60-year-old with suspected acute coronary syndrome has atypical pain, a non-ischaemic ECG and normal high-sensitivity troponin results on the local ...

Question

A 60-year-old with suspected acute coronary syndrome has atypical pain, a non-ischaemic ECG and normal high-sensitivity troponin results on the local validated pathway. What should determine emergency-department disposition?

Accepted Answer

Integrate serial troponin results, ECG and clinical assessment

Answer

Use HEART score plus the first troponin

Answer

Use serial troponins without reviewing recurrent symptoms

Answer

Admit according to age and risk factors

Answer

Use D-dimer with the initial ECG

Risk Stratification in Chest Pain — MRCEM SBA MCQ

A 60-year-old with suspected acute coronary syndrome has atypical pain, a non-ischaemic ECG and normal high-sensitivity troponin results on the local validated pathway. What should determine emergency-department disposition?