Question

A 59-year-old with chest pain and nonischemic ECG has an initial high-sensitivity troponin below the 99th percentile. Your ED uses a 0/1-hour algorithm. What is the best next step?

Accepted Answer

Repeat high-sensitivity troponin at 1 hour and apply validated delta criteria

Answer

Discharge now with outpatient stress test

Answer

Order CK-MB and myoglobin

Answer

Admit for immediate invasive angiography

Answer

Give thrombolysis

Practice question

A 59-year-old with chest pain and nonischemic ECG has an initial high-sensitivity troponin below the 99th percentile. Your ED uses a 0/1-hour algorithm. What is the best next step?