A 64-year-old man is admitted with chest pain. His ECG shows ST depression in V4–V6 and his high-sensitivity troponin is elevated. He is haemodynamica...

Question

A 64-year-old man is admitted with chest pain. His ECG shows ST depression in V4–V6 and his high-sensitivity troponin is elevated. He is haemodynamically stable. His GRACE score indicates an intermediate to high 6‑month mortality risk (>3%). What is the most appropriate next management step?

Accepted Answer

Offer coronary angiography within 72 hours of admission

Answer

Discharge with outpatient cardiology review in 6 weeks

Answer

Immediate thrombolysis with alteplase

Answer

Switch to aspirin monotherapy and conservative management

Answer

Schedule an exercise tolerance test in 4 weeks

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

A 64-year-old man is admitted with chest pain. His ECG shows ST depression in V4–V6 and his high-sensitivity troponin is elevated. He is haemodynamically stable. His GRACE score indicates an intermediate to high 6‑month mortality risk (>3%). What is the most appropriate next management step?