Question

A 47-year-old with low-risk chest pain and normal ECG has an initial high-sensitivity troponin below the 99th percentile. What is the recommended diagnostic strategy?

Accepted Answer

Use a validated 0/1-3 hour hs-troponin algorithm with clinical risk assessment

Answer

Single negative troponin is sufficient to discharge

Answer

Exercise treadmill test now for all

Answer

Routine CT coronary angiography in all low-risk patients

Answer

Start dual antiplatelet therapy empirically

Practice question

A 47-year-old with low-risk chest pain and normal ECG has an initial high-sensitivity troponin below the 99th percentile. What is the recommended diagnostic strategy?