Question

A 62 year old female with a history of HTN presents with left sided chest pain. Which of the following sets includes tests that will need to be ordered to diagnose an STEMI and an NSTEMI in the ED?
A) Myoglobin and D-Dimer
B) CXR and EKG
C) EKG and Troponin
D) D-Dimer and Troponin

Answer 1

The correct tests to be done in this situation is Electrocardiogram and Troponin test.

Option C

Explanation:

The person said in this question is having Hypertension along with left sided chest pain. This is by far the most common symptom for cardiac arrest. So as soon as possible the patient is taken for an ECG test, which will tell us the electrical activities of heart along with the muscle conditions.

The second most important test is the biomarker test. Troponin is by far the most used and reliable biomarker for cardiac arrest. This biomarker is found in blood from very soon after the attack and remains in blood for a longer time than others. The most checked troponins are CK, CK-MB and the Myoglobin. These tests are recommended by WHO for a suspected cardiac arrest.