Q:

A 45 year old manual worker presented with a 2hour history of chest pain radiating to his left arm. His ECG is normal. What is the single most appropriate investigation? a. Cardiac enzymes

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A 45 year old manual worker presented with a 2hour history of chest pain radiating to his left

arm. His ECG is normal. What is the single most appropriate investigation?


  1. Cardiac enzymes
  2. CXR
  3. CT
  4. ECG
  5. V/Q scan

All Answers

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A. Cardiac enzymes. [Probable diagnosis is MI. In MI often ECG doesn’t show the changes in early

stage. Cardiac enzymes will help in such cases].

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