Q. A 46 years old patient presented to you with history of chest pain for 3 hours duration. Initial ECG done at primary centre showed ST elevation in inferior leads which have completely resolved now. Patient is pain free at present. His vitals and clinical examination are completely normal. What should be the next appropriate strategy?
A. Discharge the patient since clinical examination is normal and patient does not have any chest pain
B. Observe him for at least 24 hours for recurrence of chest pain and then ask to follow in cardiology clinic
C. Arrange early coronary angiography preferably within 24 hours
D. Get the cardiac biomarkers done and if normal, discharge the patient to follow up in cardiology OPD
Answer: C. Arrange early coronary angiography preferably within 24 hours
A. Discharge the patient since clinical examination is normal and patient does not have any chest pain
B. Observe him for at least 24 hours for recurrence of chest pain and then ask to follow in cardiology clinic
C. Arrange early coronary angiography preferably within 24 hours
D. Get the cardiac biomarkers done and if normal, discharge the patient to follow up in cardiology OPD
Answer: C. Arrange early coronary angiography preferably within 24 hours
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