Question

A 50-year-old man with exertional chest pain and nonischemic ECG has hs-cTn below limit of detection at presentation and unchanged at 2 hours; HEART score 2. What is the recommended next step?

Accepted Answer

Discharge with outpatient follow-up

Answer

Admit for invasive angiography

Answer

Start heparin infusion

Answer

Administer clopidogrel 600 mg and discharge

Answer

Order urgent stress test before discharge in all cases

Practice question

A 50-year-old man with exertional chest pain and nonischemic ECG has hs-cTn below limit of detection at presentation and unchanged at 2 hours; HEART score 2. What is the recommended next step?