A 45-year-old patient presents with nonexertional chest pain. ECG is normal, high-sensitivity troponins at 0 and 2 hours are negative, and the HEART s...

Question

A 45-year-old patient presents with nonexertional chest pain. ECG is normal, high-sensitivity troponins at 0 and 2 hours are negative, and the HEART score is 2. What is the most appropriate management?

Accepted Answer

Discharge with outpatient follow-up and return precautions

Answer

Admit for observation with serial cardiac enzymes for 24 hours

Answer

Immediate invasive coronary angiography

Answer

Inpatient nuclear stress testing prior to discharge

Answer

Start dual antiplatelet therapy and a heparin infusion

us-abem MCQ (SBA): Low-Risk Chest Pain

A 45-year-old patient presents with nonexertional chest pain. ECG is normal, high-sensitivity troponins at 0 and 2 hours are negative, and the HEART score is 2. What is the most appropriate management?