Chest pain began one hour ago. The ECG is non-diagnostic and the first high-sensitivity troponin is below the 99th percentile. What is the correct rul...

Question

Chest pain began one hour ago. The ECG is non-diagnostic and the first high-sensitivity troponin is below the 99th percentile. What is the correct rule-out approach?

Accepted Answer

Continue an assay-validated serial troponin pathway

Answer

Discharge after a second unchanged ECG at one hour

Answer

Discharge after a low clinical-risk score at one hour

Answer

Perform exercise ECG before the second troponin

Answer

Diagnose unstable angina from the first troponin result

Chest Pain — MRCP Part 1 MCQ

Chest pain began one hour ago. The ECG is non-diagnostic and the first high-sensitivity troponin is below the 99th percentile. What is the correct rule-out approach?