Question

A 45-year-old with 5 hours of chest discomfort has a nonischemic ECG. High-sensitivity troponin I at 0 and 3 hours are below the 99th percentile and unchanged. HEART score is 2. What is the best next step?

Accepted Answer

Discharge with return precautions and expedited outpatient follow-up

Answer

Admit for stress testing

Answer

CT coronary angiography now

Answer

Begin dual antiplatelet therapy and discharge

Answer

Repeat hs-troponin in 12 hours and discharge now

Practice question

A 45-year-old with 5 hours of chest discomfort has a nonischemic ECG. High-sensitivity troponin I at 0 and 3 hours are below the 99th percentile and unchanged. HEART score is 2. What is the best next step?