1 Hour Of Central in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#1031
SMLE Question #1031
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 60-year-old man with long-standing diabetes mellitus and hypertension presents with 1 hour of central chest and neck pressure with profuse sweating. Symptoms are similar to prior exertional episodes that resolved with rest, and he is now pain-free. Examination is unremarkable. ECG shows nonspecific ST-segment and T-wave changes without diagnostic ischemia. Initial high-sensitivity troponin I is not elevated. What is the most appropriate next step in management?
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