Question

A 69-year-old man with acute chest pain 1 hour ago has normal ECG and hs‑troponin T below the 99th percentile at presentation. The ED uses a 0/1‑hour algorithm. At 1 hour, hs‑troponin remains below rule‑out threshold and delta is <3 ng/L. HEART score is 1. Best disposition?

Accepted Answer

Discharge with outpatient follow-up and return precautions

Answer

Admit to observation for 24 hours

Answer

Give loading dose of clopidogrel and admit

Answer

CT coronary angiography for all low-risk patients before discharge

Answer

Stress test required before discharge

Practice question

A 69-year-old man with acute chest pain 1 hour ago has normal ECG and hs‑troponin T below the 99th percentile at presentation. The ED uses a 0/1‑hour algorithm. At 1 hour, hs‑troponin remains below rule‑out threshold and delta is <3 ng/L. HEART score is 1. Best disposition?