A 60-year-old with suspected NSTEMI but nondiagnostic ECG and negative first hs-troponin has persistent symptoms. According to the chest pain guidelin...

Question

A 60-year-old with suspected NSTEMI but nondiagnostic ECG and negative first hs-troponin has persistent symptoms. According to the chest pain guideline, which is appropriate?

Accepted Answer

Serial high-sensitivity troponins and risk-based testing (e.g., CCTA or stress) rather than routine immediate invasive angiography

Answer

Immediate invasive angiography in all low-risk patients

Answer

No further testing if first troponin negative

Answer

CK-MB levels to decide

Answer

Discharge without follow-up

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

A 60-year-old with suspected NSTEMI but nondiagnostic ECG and negative first hs-troponin has persistent symptoms. According to the chest pain guideline, which is appropriate?