Question

A 54-year-old with 2 hours of chest pressure has a nonischemic ECG and negative high-sensitivity troponin at 0 and 2 hours. HEART score is 2. Vitals normal. What is the best next step?

Accepted Answer

Early outpatient follow-up and discharge now

Answer

Admit for 24-hour telemetry

Answer

Immediate stress testing before discharge

Answer

Repeat conventional troponin at 6 hours before discharge

Answer

Start heparin infusion and admit

Practice question

A 54-year-old with 2 hours of chest pressure has a nonischemic ECG and negative high-sensitivity troponin at 0 and 2 hours. HEART score is 2. Vitals normal. What is the best next step?