Question

A 58-year-old presents with 45 minutes of chest pain. High-sensitivity troponin T at 0 hour is 12 ng/L (URL 14), and at 2 hours increases by 9 ng/L. ECG is nondiagnostic. What is the best next step?

Accepted Answer

Treat as non-ST-elevation myocardial infarction and begin guideline-directed therapy

Answer

Discharge with outpatient stress test

Answer

Repeat hs-cTn at 6 hours and observe

Answer

Immediate coronary angiography

Answer

CT pulmonary angiography

Practice question

A 58-year-old presents with 45 minutes of chest pain. High-sensitivity troponin T at 0 hour is 12 ng/L (URL 14), and at 2 hours increases by 9 ng/L. ECG is nondiagnostic. What is the best next step?