A 46-year-old man has chest pain for 90 minutes. ECG is nondiagnostic, hs-cTn at 0 hour is normal. What is the recommended approach to ruling out MI?...

Question

A 46-year-old man has chest pain for 90 minutes. ECG is nondiagnostic, hs-cTn at 0 hour is normal. What is the recommended approach to ruling out MI?

Accepted Answer

Use a validated accelerated diagnostic pathway with serial hs-cTn at 0 and 1-3 hours with risk assessment

Answer

Single hs-cTn at presentation is sufficient to discharge

Answer

Admit all patients for 24-hour observation regardless of hs-cTn

Answer

Rely on CK-MB and myoglobin instead of hs-cTn

Answer

Perform routine stress testing immediately

us-abem MCQ (SBA): Acute Chest Pain Evaluation