A 58-year-old with acute chest pain, normal ECG, and low-risk HEART score has two negative high-sensitivity troponins 0 and 2 hours apart. Best next s...

Question

A 58-year-old with acute chest pain, normal ECG, and low-risk HEART score has two negative high-sensitivity troponins 0 and 2 hours apart. Best next step per guideline-based risk strategy?

Accepted Answer

Discharge with expedited outpatient follow-up; no immediate testing

Answer

Admit for routine inpatient stress testing

Answer

Order inpatient exercise treadmill test the same day

Answer

Start empiric ACS therapy (heparin infusion) and admit

Answer

CT coronary angiography before discharge in all low-risk patients

us-abem MCQ (SBA): Chest Pain Risk Stratification

A 58-year-old with acute chest pain, normal ECG, and low-risk HEART score has two negative high-sensitivity troponins 0 and 2 hours apart. Best next step per guideline-based risk strategy?