Question

A 52-year-old presents 3 hours after onset of nonexertional chest pain. ECG is nonischemic. High-sensitivity troponin T is below the limit of detection at 0 and unchanged at 2 hours; HEART score is 2. What is the most appropriate disposition?

Accepted Answer

Discharge with early outpatient follow-up

Answer

Admit for serial conventional troponins for 24 hours

Answer

Immediate invasive coronary angiography

Answer

Begin IV heparin and admit

Answer

CT coronary angiography now

Practice question

A 52-year-old presents 3 hours after onset of nonexertional chest pain. ECG is nonischemic. High-sensitivity troponin T is below the limit of detection at 0 and unchanged at 2 hours; HEART score is 2. What is the most appropriate disposition?