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NSTEMI — RCPSC IM MCQ

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HardCardiologyNSTEMIRCPSC IM

A 58-year-old woman with diabetes has chest pressure for 2 hours. ECG shows 2 mm ST depression in V2-V5 and troponin is elevated above the 99th percentile. She is pain-free after nitroglycerin, blood pressure is 132/74 mm Hg, and creatinine is normal. What is the most appropriate investigation?

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Correct answer: A — Early invasive coronary angiography

NSTEMI with dynamic ischemic ECG changes and elevated troponin warrants antithrombotic therapy and early invasive coronary angiography for risk stratification and possible revascularization.

Reference: CCS acute coronary syndrome guidance