A 58-year-old presents with 4 hours of nonischemic chest pain; initial and 1-hour high-sensitivity troponins are unchanged and low; ECG normal; HEART ...

Question

A 58-year-old presents with 4 hours of nonischemic chest pain; initial and 1-hour high-sensitivity troponins are unchanged and low; ECG normal; HEART score 2. What approach aligns with the chest pain guideline?

Accepted Answer

Admit all patients for stress testing

Answer

Use CK-MB to exclude MI

Answer

Discharge with prompt outpatient follow-up

Answer

Give thrombolytics

Answer

Start heparin infusion until stress test

us-abem MCQ (SBA): Chest Pain Risk Stratification

A 58-year-old presents with 4 hours of nonischemic chest pain; initial and 1-hour high-sensitivity troponins are unchanged and low; ECG normal; HEART score 2. What approach aligns with the chest pain guideline?