Question

A 54-year-old presents 2 hours after brief chest pain. ECG is nonischemic. Two high-sensitivity cardiac troponin T measurements at 0 and 2 hours are both below the assay-specific 99th percentile with no delta. HEART score is 2. He is pain-free and vitals are normal. What is the best disposition?

Accepted Answer

Discharge with outpatient follow-up and return precautions

Answer

Admit for 24-hour observation and stress testing

Answer

Immediate invasive coronary angiography

Answer

Begin heparin infusion and admit

Answer

CT coronary angiography before discharge

Practice question

A 54-year-old presents 2 hours after brief chest pain. ECG is nonischemic. Two high-sensitivity cardiac troponin T measurements at 0 and 2 hours are both below the assay-specific 99th percentile with no delta. HEART score is 2. He is pain-free and vitals are normal. What is the best disposition?