A 72-year-old man presents with 3 hours of chest pain at rest. ECG shows ST depression in V4-V6 and troponin I is elevated. Despite maximal medical th...

Question

A 72-year-old man presents with 3 hours of chest pain at rest. ECG shows ST depression in V4-V6 and troponin I is elevated. Despite maximal medical therapy (aspirin, ticagrelor, IV heparin, beta blocker, nitrates), he continues to have recurrent chest pain and dynamic ECG changes. What is the most appropriate management strategy?

Accepted Answer

Arrange immediate coronary angiography with a view to revascularisation

Answer

Continue medical therapy and arrange outpatient stress testing

Answer

Arrange coronary angiography within 72 hours if symptoms settle

Answer

Discharge once pain-free with dual antiplatelet therapy for 12 months

Answer

Switch to warfarin for long-term anticoagulation

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