A 22-year-old man presents to a Wellington ED, triage category 2, with chest pain after a viral prodrome. ECG shows diffuse ST changes, troponin is

Question

A 22-year-old man presents to a Wellington ED, triage category 2, with chest pain after a viral prodrome. ECG shows diffuse ST changes, troponin is 2200 ng/L and bedside echo shows mildly reduced LV function. He has frequent runs of nonsustained ventricular tachycardia on telemetry. What is the most appropriate disposition?

Accepted Answer

Admit to a monitored cardiac unit

Answer

Discharge with NSAIDs and GP follow-up

Answer

Transfer to routine outpatient echocardiography

Answer

Observe in waiting room for repeat ECG

Answer

Refer to physiotherapy for chest wall pain

Acute myocarditis — ACEM Fellowship MCQ