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Non-ST-elevation myocardial infarction — ABEM Board MCQ

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ModerateCardiovascular emergenciesNon-ST-elevation myocardial infarctionABEM Board

A 64-year-old woman arrives as ESI 2 with substernal chest pressure. ECG shows new T-wave inversions in V2-V4; initial troponin is elevated. BP 128/76, HR 88, and pain improves with nitroglycerin. Which of the following is the most appropriate disposition?

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Correct answer: CAdmit for non-ST-elevation acute coronary syndrome management

NSTEMI requires admission for antithrombotic therapy, serial biomarkers, risk stratification, and cardiology-directed management.

Reference: ACEP Clinical Policy: Non-ST-Elevation Acute Coronary Syndromes; AHA/ACC NSTE-ACS guidance