> Examination reveals a quiet midsystolic murmur without click, a blood
pressure of 153/88 and pulse of 78. Her ECG is unremarkable. In particular,
there is no ST
> segment elevation nor t-wave inversion. She has a few scattered wheezes at
both bases. Her biochemical profile is normal: in particular her troponin-I
is 0.1, her
> CK is 56 and the lab have not performed a CK-MB.
>
> You make a diagnosis of a angina pectoris. What is your management now?
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
>
15-20 minutes of angina very unlikely to cause myocardial damage (MI) but
once you embark on troponins, shouldn't you recheck at 4 hours?
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