A 68-year-old woman with known coronary artery disease presents with chest pain at rest and dynamic ST depression in V4-V6. Troponin I is elevated. Sh...

Question

A 68-year-old woman with known coronary artery disease presents with chest pain at rest and dynamic ST depression in V4-V6. Troponin I is elevated. She is already taking acetylsalicylic acid 81 mg daily. What is the most appropriate next step in management in the emergency department?

Accepted Answer

Give a loading dose of clopidogrel and arrange early invasive coronary angiography

Answer

Increase her acetylsalicylic acid dose to 325 mg and discharge with follow-up

Answer

Start thrombolytic therapy immediately

Answer

Start a long-acting nitrate only and reassess in 24 hours

Answer

Withhold anticoagulation until echocardiography is completed

ca-mccqe1 MCQ (SBA): Non-ST-elevation myocardial infarction

A 68-year-old woman with known coronary artery disease presents with chest pain at rest and dynamic ST depression in V4-V6. Troponin I is elevated. She is already taking acetylsalicylic acid 81 mg daily. What is the most appropriate next step in management in the emergency department?