A 76-year-old woman presents as triage level 2 with chest pressure for 4 hours. ECG shows ST depression in V2 to V5, high-sensitivity troponin is

Question

A 76-year-old woman presents as triage level 2 with chest pressure for 4 hours. ECG shows ST depression in V2 to V5, high-sensitivity troponin is elevated, BP is 154/86 mm Hg, and pain improves after aspirin and nitroglycerin. Which of the following is the most appropriate next step in management?

Accepted Answer

Admit for anticoagulation, cardiology evaluation, and early invasive risk stratification

Answer

Treat with antibiotics for myocarditis

Answer

Administer fibrinolytic therapy in the ED

Answer

Discharge with outpatient stress testing in 72 hours

Answer

Schedule elective cardiology review in 2 weeks

Non-ST-elevation myocardial infarction — ABEM Board MCQ

A 76-year-old woman presents as triage level 2 with chest pressure for 4 hours. ECG shows ST depression in V2 to V5, high-sensitivity troponin is elevated, BP is 154/86 mm Hg, and pain improves after aspirin and nitroglycerin. Which of the following is the most appropriate next step in management?