Question

A 55-year-old with acute chest pain (>3 hours), nonischemic ECG, and low clinical risk has high-sensitivity troponin T 4 ng/L at 0 h and unchanged at 1 h (both below LoD). What is the best disposition?

Accepted Answer

Discharge with outpatient follow-up

Answer

Admit for serial conventional troponins over 12 hours

Answer

Immediate invasive angiography

Answer

Exercise treadmill test prior to discharge

Answer

Start dual antiplatelet therapy and discharge

Practice question

A 55-year-old with acute chest pain (>3 hours), nonischemic ECG, and low clinical risk has high-sensitivity troponin T 4 ng/L at 0 h and unchanged at 1 h (both below LoD). What is the best disposition?