High sensitivity troponin strategy if active symptoms or uncertainty
If elevated with rise or fall, treat as acute coronary syndrome
If normal with stable pattern and stable symptoms, outpatient pathway possible
Pretest probability estimate for obstructive CAD
Age
Sex
Symptom typicality
Risk factor burden
Shared decision making framing
Goal of testing is event risk reduction and symptom guidance
Goal of therapy is symptom control and long term prevention
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.