An 82-year-old woman presents with vague chest discomfort and mild shortness of breath. Her ECG is non-diagnostic, and initial troponin is normal. She has a history of hypertension and osteoarthritis.
What additional information would you seek, and how would you approach her risk stratification and management? Discuss the challenges of diagnosing acute coronary syndromes in elderly patients and share any relevant experiences or evidence that inform your approach.
