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

Practice 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?