What is the best next step in the management

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Question: A 22-year-old female presents to the emergency department with chest pain and shortness of breath. She has a sense of impending doom associated with a sudden onset crushing substernal pressure in the center of her chest. She then started to breathe in quick shallow breaths, unable to catch her breath. She is diaphoretic and tachycardic, and appears distressed. There is no medical history and the only medications she takes are oral contraceptives. She is sexually active but does not smoke cigarettes. She is very active both at work and in a hobby kickball league. Vitals show afebrile, heart rate 111, respirations 32, and blood pressure 132/76. EKG reveals sinus tachycardia. Troponins are negative. D-Dimer is negative. What is the best next step in the management? Which of the following is the most appropriate next step in the management?

Reference no: EM133698619

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