Question

A 59-year-old with unstable angina and nondiagnostic ECG has intermediate risk. High-sensitivity troponin 0h and 2h are below 99th percentile without rise. Best next diagnostic step?

Accepted Answer

Functional testing or CCTA based on availability

Answer

Immediate invasive angiography

Answer

No further testing; discharge without follow-up

Answer

Thrombolysis

Answer

Start warfarin

Practice question

A 59-year-old with unstable angina and nondiagnostic ECG has intermediate risk. High-sensitivity troponin 0h and 2h are below 99th percentile without rise. Best next diagnostic step?