Question

A 54-year-old presents with 2 hours of chest pain. hs-cTn at 0 and 1 hour are below sex-specific 99th percentile with no delta; ECG is normal; HEART pathway risk <1% 30-day MACE. Best disposition?

Accepted Answer

Discharge with outpatient follow-up

Answer

Admit for observation and stress testing

Answer

Immediate invasive angiography

Answer

Start heparin infusion and admit

Answer

CT coronary angiography now

Practice question

A 54-year-old presents with 2 hours of chest pain. hs-cTn at 0 and 1 hour are below sex-specific 99th percentile with no delta; ECG is normal; HEART pathway risk <1% 30-day MACE. Best disposition?