A 55-year-old obese African-American male presents with sudden onset of chest tightness radiating to his back and left arm, along with nausea. Chest X-ray was normal, and electrocardiogram reveals normal sinus rhythm with ST segment elevation. Troponin level was 0.4. D-dimer level was 0.24. Pulse oximetry was normal at 100% on room air. Blood pressure was 160/80. Patient was administered nitroglycerin with no resolution of chest pain. Which diagnostic study would you perform and why?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 55-year-old obese African-American male presents with sudden onset of chest tightness radiating to his back and left arm, along with nausea. Chest X-ray was normal, and electrocardiogram reveals normal sinus rhythm with ST segment elevation. Troponin level was 0.4. D-dimer level was 0.24. Pulse oximetry was normal at 100% on room air. Blood pressure was 160/80. Patient was administered nitroglycerin with no resolution of chest pain. Which diagnostic study would you perform and why?