Question

A 58-year-old woman presents with 1 hour of central chest pain. High-sensitivity troponin T at 0 and 1 hour are 6 ng/L and 6 ng/L (delta <3 ng/L); ECG is non-ischemic; HEART score is 2. What is the best disposition?

Accepted Answer

Discharge with early outpatient follow-up

Answer

Admit for 24-hour telemetry

Answer

Start IV heparin and admit

Answer

Give fibrinolysis now

Answer

Schedule elective stress testing in 2 weeks without discharge instructions

Practice question

A 58-year-old woman presents with 1 hour of central chest pain. High-sensitivity troponin T at 0 and 1 hour are 6 ng/L and 6 ng/L (delta <3 ng/L); ECG is non-ischemic; HEART score is 2. What is the best disposition?