A 68-year-old woman with known ischaemic heart disease presents with crescendo angina at rest. ECG shows ST depression in V4–V6 and troponin is mildly...

Question

A 68-year-old woman with known ischaemic heart disease presents with crescendo angina at rest. ECG shows ST depression in V4–V6 and troponin is mildly elevated. She is haemodynamically stable. What is the most appropriate next management step?

Accepted Answer

Admit for NSTEMI management with dual antiplatelet therapy and consideration of early coronary angiography

Answer

Discharge with increased GTN use only

Answer

Start long-term Warfarin instead of antiplatelets

Answer

Start a statin and review in 3 months

Answer

Offer reassurance and no change in treatment

uk-plab-1 MCQ (SBA): Non-ST-elevation myocardial infarction

A 68-year-old woman with known ischaemic heart disease presents with crescendo angina at rest. ECG shows ST depression in V4–V6 and troponin is mildly elevated. She is haemodynamically stable. What is the most appropriate next management step?