Question

A 52-year-old with intermittent chest pain has nonischemic ECG and low-risk features. High-sensitivity troponin is <LoD at 0 hour and unchanged at 2 hours; HEART score is 2. Best disposition?

Accepted Answer

Discharge with outpatient follow-up using a validated clinical decision pathway

Answer

Admit for routine stress testing

Answer

Start heparin and admit to telemetry

Answer

Order emergent coronary CTA before discharge

Answer

Give thrombolysis and monitor in ICU

Practice question

A 52-year-old with intermittent chest pain has nonischemic ECG and low-risk features. High-sensitivity troponin is <LoD at 0 hour and unchanged at 2 hours; HEART score is 2. Best disposition?