A 55-year-old has suspected acute coronary syndrome. A local validated one-hour high-sensitivity troponin pathway meets rule-out criteria, ECG is non-...

Question

A 55-year-old has suspected acute coronary syndrome. A local validated one-hour high-sensitivity troponin pathway meets rule-out criteria, ECG is non-ischaemic and symptoms have resolved. What additional condition is required before discharge?

Accepted Answer

Reassuring clinical assessment with safety-netting

Answer

A normal D-dimer level

Answer

A routine CT coronary angiogram

Answer

A 24-hour telemetry admission

Answer

A negative exercise test in every patient

Chest Pain Disposition — MRCEM SBA MCQ

A 55-year-old has suspected acute coronary syndrome. A local validated one-hour high-sensitivity troponin pathway meets rule-out criteria, ECG is non-ischaemic and symptoms have resolved. What additional condition is required before discharge?