Question

A 59-year-old with chest pain has hs-troponin 18 ng/L (99th percentile 19 ng/L) at 0 hour and 17 ng/L at 1 hour (delta -1 ng/L), nonischemic ECG, low-risk features. Best management?

Accepted Answer

Discharge using an hs-cTn 0/1-hour pathway with follow-up

Answer

Admit for invasive angiography

Answer

Start thrombolytics

Answer

Begin heparin infusion

Answer

Schedule stress testing before discharge in all cases

Practice question

A 59-year-old with chest pain has hs-troponin 18 ng/L (99th percentile 19 ng/L) at 0 hour and 17 ng/L at 1 hour (delta -1 ng/L), nonischemic ECG, low-risk features. Best management?