Question

A 42-year-old woman presents with 20 minutes of sudden-onset central chest pain radiating to her back, resolved on arrival. ECG is normal and troponin is initially negative. She is currently pain free. According to ACS guidelines, which is the most appropriate management strategy?

Accepted Answer

Serial ECGs and high-sensitivity troponins over several hours with risk stratification

Answer

Discharge now with reassurance and no follow-up

Answer

Immediate thrombolysis

Answer

Routine CT coronary angiography for all such patients

Answer

Start warfarin for presumed coronary embolus

Practice question

A 42-year-old woman presents with 20 minutes of sudden-onset central chest pain radiating to her back, resolved on arrival. ECG is normal and troponin is initially negative. She is currently pain free. According to ACS guidelines, which is the most appropriate management strategy?