Question

A 65-year-old with suspected ACS but nondiagnostic ECG and negative initial troponin has persistent concerning symptoms. Which test is reasonable for further evaluation?

Accepted Answer

Coronary CT angiography in intermediate-risk chest pain

Answer

Routine invasive angiography for all

Answer

No testing if first troponin negative

Answer

Echocardiogram alone can exclude CAD

Answer

D-dimer to rule out ACS

Practice question

A 65-year-old with suspected ACS but nondiagnostic ECG and negative initial troponin has persistent concerning symptoms. Which test is reasonable for further evaluation?