Question

A 68 year old man is admitted with a non ST elevation myocardial infarction. His GRACE score predicts a 6 month mortality of 5 percent. He is haemodynamically stable with no contraindications to invasive management. What is the most appropriate management strategy?

Accepted Answer

Offer coronary angiography within 24 hours of admission

Answer

Schedule elective angiography in 6 weeks

Answer

Offer medical therapy only with no angiography

Answer

Discharge with outpatient exercise tolerance testing

Answer

Offer thrombolysis with alteplase

Practice question

A 68 year old man is admitted with a non ST elevation myocardial infarction. His GRACE score predicts a 6 month mortality of 5 percent. He is haemodynamically stable with no contraindications to invasive management. What is the most appropriate management strategy?