A 43-year-old with intermittent chest pain, normal ECG, negative high-sensitivity troponins at 0 and 3 hours, and HEART score 2 is in the ED. What is ...

Question

A 43-year-old with intermittent chest pain, normal ECG, negative high-sensitivity troponins at 0 and 3 hours, and HEART score 2 is in the ED. What is the best next step?

Accepted Answer

Discharge with outpatient follow-up; no immediate stress testing needed

Answer

Admit for invasive coronary angiography

Answer

Begin IV heparin and admit to ICU

Answer

CT pulmonary angiography

Answer

Immediate treadmill stress test before discharge

us-abem MCQ (SBA): Chest Pain Risk Stratification

A 43-year-old with intermittent chest pain, normal ECG, negative high-sensitivity troponins at 0 and 3 hours, and HEART score 2 is in the ED. What is the best next step?