29yo/m presents to the ED with chest discomfort. He describe | Figure 1
29yo/m presents to the ED with chest discomfort.
He describes his pain as dull non radiating behind the sternum. He states his pain began while he was walking around at work and is unrelieved by rest. Pain is non positional. Patient denies any prior cardiac Hx and has never experienced this discomfort before. He presents A/Ox4 with skin P/W/D. Denies N&V or SOB. Lung sounds clear and equal. Vitals all within normal limits. Patients pain is relieved after one sublingual nitro. Initial POC troponin is 0.18. Patient sent to catch lab. Thoughts?