Question

A 54-year-old with suspected ACS has normal ECG and modest hs‑cTn elevation above the 99th percentile on arrival with a 2‑hour delta increase. What does this indicate?

Accepted Answer

Acute myocardial injury consistent with NSTEMI in appropriate clinical context

Answer

No myocardial injury

Answer

Demand ischemia cannot be ruled in or out with troponin

Answer

Troponin is not helpful; use CK‑MB

Answer

Must have ST elevation for MI diagnosis

Practice question

A 54-year-old with suspected ACS has normal ECG and modest hs‑cTn elevation above the 99th percentile on arrival with a 2‑hour delta increase. What does this indicate?