Question

A 60 year old woman with hypertension and type 2 diabetes presents with new onset central chest pain radiating to the jaw, associated with diaphoresis, resolving after 20 minutes. ECG is normal and troponin is negative. What is the most appropriate next step?

Accepted Answer

Admit to a monitored bed for serial troponins and further risk stratification

Answer

Discharge without follow up as ECG and troponin are normal

Answer

Start high dose NSAIDs and discharge

Answer

Schedule routine cardiology follow up in 6 months

Answer

Order CT chest to rule out pulmonary embolism only

Practice question

A 60 year old woman with hypertension and type 2 diabetes presents with new onset central chest pain radiating to the jaw, associated with diaphoresis, resolving after 20 minutes. ECG is normal and troponin is negative. What is the most appropriate next step?