To discharge or not

In a patient with known prior CAD s/p stent, recent improved/ negative nuclear stress test 1 week prior for similar symptoms-presented with some 'atypical' chest pain(on sub-optimal anti-anginal therapy), no EKG changes, ctrop neg X2-chest pain free in ER. Should a patient like this be admitted for diagnostic cath/some other tests or be discharged on optimal medical therapy?To add to the dilemma-this happens on a Friday afternoon(if further work-up needed, pt will have to stay over weekend, with additional LOS/expense/inconvenience etc).
Source: Doc2Doc BMJ Cardiology - Category: Cardiology Authors: Source Type: forums
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