Facharzt FMH Kardiologie Practice Questions - Facharzt FMH Für Kardiologie Spécialiste FMH En Cardiologie Exam

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A 69-year-old male with hypertension and chronic kidney disease presents with 2 hours of rest angina. ECG reveals 1.5 mm horizontal ST-segment depression in leads V4–V6 and T-wave inversion in lead I and aVL. High-sensitivity cardiac troponin T is elevated at 980 ng/L (upper reference limit 14 ng/L). He is hemodynamically stable without signs of heart failure, and his calculated GRACE risk score is 152. According to ESC NSTE-ACS guidelines, what is the recommended timing for invasive coronary angiography?

Immediate invasive strategy within 2 hours of hospital arrival. Selective non-invasive functional ischemia testing prior to any angiography. Elective coronary angiography performed within 72 hours after completing 3 days of medical stabilization. Early invasive strategy with coronary angiography within 24 hours of hospital admission.

Correct Answer:

Early invasive strategy with coronary angiography within 24 hours of hospital admission.

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