A 58-year-old with new NSTEMI has ongoing chest pain, dynamic ST-depressions, and elevated high-sensitivity troponin. Renal function is normal. What i...

Question

A 58-year-old with new NSTEMI has ongoing chest pain, dynamic ST-depressions, and elevated high-sensitivity troponin. Renal function is normal. What is the preferred early strategy?

Accepted Answer

Early invasive coronary angiography within 24 hours

Answer

Ischemia-guided medical therapy with delayed angiography only if refractory

Answer

Immediate fibrinolysis with tenecteplase

Answer

Primary PCI only if ST elevation develops

Answer

Stress testing within 48 hours and discharge if negative

us-abim MCQ (SBA): NSTEMI

A 58-year-old with new NSTEMI has ongoing chest pain, dynamic ST-depressions, and elevated high-sensitivity troponin. Renal function is normal. What is the preferred early strategy?