A 49-year-old woman presents with central chest pain at rest lasting 20 minutes. ECG shows ST depression and T-wave inversion in multiple leads. High-...

Question

A 49-year-old woman presents with central chest pain at rest lasting 20 minutes. ECG shows ST depression and T-wave inversion in multiple leads. High-sensitivity troponin is elevated. She is haemodynamically stable but has diabetes and chronic kidney disease. What is the most appropriate management strategy according to ACS guidelines?

Accepted Answer

Arrange early invasive coronary angiography within 24 hours

Answer

Discharge with outpatient stress test

Answer

Admit for conservative management without angiography

Answer

Treat as non-cardiac chest pain

Answer

Delay angiography for several weeks until renal function improves

au-amc MCQ (SBA): Non-ST-elevation acute coronary syndrome