Question

A 61-year-old man presents to a small rural hospital with chest pain suggestive of ACS. There is no on-site cardiology service. ECG is non-diagnostic and initial troponin is normal. What is the most appropriate strategy?

Accepted Answer

Admit for serial ECGs and troponins with telehealth cardiology input and transfer if high-risk features develop

Answer

Discharge home with GP review in 1 week

Answer

Immediate transfer of all chest pain patients to tertiary centre

Answer

Treat as musculoskeletal pain and give NSAIDs

Answer

Arrange outpatient stress test in 3 months

Practice question

A 61-year-old man presents to a small rural hospital with chest pain suggestive of ACS. There is no on-site cardiology service. ECG is non-diagnostic and initial troponin is normal. What is the most appropriate strategy?