Question

A 45-year-old woman presents to the ED with 2 hours of nonexertional chest pain. ECG is nonischemic; serial high-sensitivity troponins are negative; HEART score is 2. What is the best next step?

Accepted Answer

Exercise treadmill test before discharge

Answer

Immediate invasive coronary angiography

Answer

Inpatient admission for observation stress test

Answer

Urgent CT coronary angiography

Answer

Discharge with outpatient follow-up; no urgent testing

Practice question

A 45-year-old woman presents to the ED with 2 hours of nonexertional chest pain. ECG is nonischemic; serial high-sensitivity troponins are negative; HEART score is 2. What is the best next step?