Question

A 58-year-old man with exertional chest pain radiating to the left arm for 20 minutes arrives at ED. ECG shows ST depression in V4-V6 and troponin is pending. He is haemodynamically stable. What is the most appropriate next step?

Accepted Answer

Start aspirin 300 mg and ticagrelor 180 mg

Answer

Give thrombolysis

Answer

Urgent CT pulmonary angiography

Answer

Start apixaban 5 mg twice daily

Answer

Reassure and arrange outpatient exercise test

Practice question

A 58-year-old man with exertional chest pain radiating to the left arm for 20 minutes arrives at ED. ECG shows ST depression in V4-V6 and troponin is pending. He is haemodynamically stable. What is the most appropriate next step?