Question

A 63-year-old man with chest pain for 3 hours, normal ECG, and high-sensitivity troponin T below limit of detection at 0 and 2 hours, HEART score 2, is comfortable and prefers to go home. What is the best next step?

Accepted Answer

Discharge with outpatient follow-up and return precautions

Answer

Admit for 24-hour observation and serial CK-MB

Answer

Immediate invasive coronary angiography

Answer

Start IV nitroglycerin infusion

Answer

Administer fibrinolysis

Practice question

A 63-year-old man with chest pain for 3 hours, normal ECG, and high-sensitivity troponin T below limit of detection at 0 and 2 hours, HEART score 2, is comfortable and prefers to go home. What is the best next step?