Question

A 70-year-old with suspected ACS has nonischemic ECG and undetectable hs‑troponin at ED arrival with symptom onset 6 hours earlier. What is appropriate?

Accepted Answer

Rule out MI with single undetectable hs‑troponin and discharge with follow-up

Answer

Admit all such patients

Answer

Measure CK‑MB instead

Answer

Delay troponin testing until 12 hours

Answer

Start fibrinolysis

Practice question

A 70-year-old with suspected ACS has nonischemic ECG and undetectable hs‑troponin at ED arrival with symptom onset 6 hours earlier. What is appropriate?