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A 25-year-old man is brought to the ED complaining of shooting pain just below his left nipple that lasted a couple of minutes and resolved. His pain started during an argument with his partner. He is a fit man with no history of smoking, hypertension, diabetes, or hyperlipidemia, and a negative family history for coronary artery disease. His vitals are normal. The physical exam is also normal with bilateral clear breath sounds, O2 sat of 99%, no limb edema, no cardiac murmurs, and a slight point tenderness just below the left nipple. The ECG shows nonspecific repolarization abnormalities and an initial high-sensitivity troponin is normal. Which of the following statements is true regarding the HEART score and the HEART pathway for this patient.

By Erica Hoe|2019-05-06T11:08:13-04:00May 6th, 2019|Comments Off on A 25-year-old man is brought to the ED complaining of shooting pain just below his left nipple that lasted a couple of minutes and resolved. His pain started during an argument with his partner. He is a fit man with no history of smoking, hypertension, diabetes, or hyperlipidemia, and a negative family history for coronary artery disease. His vitals are normal. The physical exam is also normal with bilateral clear breath sounds, O2 sat of 99%, no limb edema, no cardiac murmurs, and a slight point tenderness just below the left nipple. The ECG shows nonspecific repolarization abnormalities and an initial high-sensitivity troponin is normal. Which of the following statements is true regarding the HEART score and the HEART pathway for this patient.

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