Which investigation best confirms Inferior ST-elevation myocardial infarction?

Answer and explanation

Correct answer: B. High-sensitivity troponin measurement

  1. Step 1: The test that best confirms Inferior ST-elevation myocardial infarction is: high-sensitivity troponin measurement.
Answer
High-sensitivity troponin measurement.
Why not the others: 'Chest radiograph': it may show heart size or oedema but cannot confirm myocardial necrosis. 'D-dimer': it screens for venous thrombo-embolism, not myocardial injury. 'Serum amylase': it is raised in pancreatitis, a mimic of epigastric pain.

Practise more Clinical cases.

Free questions with an explanation for every one, and full timed Oman Medical Specialty Board Examination (OMSB) mock tests.