CARE-CP (Testing a Cardiovascular Ambulatory Rapid Evaluation for Patients With Chest Pain)

Who May Qualify: - Age ≥21 years old - Chest pain or Symptoms of acute coronary syndrome (ACS) - Moderate risk of ACS (all of the below) - Hear Score 4-6 - Non-Ischemic electrocardiogram (ECG) - Two Troponin measures \< Sex-Specific Upper Reference Limit - Women \<15 pg/ml - Men \<20 pg/ml - No prior coronary artery disease (CAD) - No Prior Myocardial Infarction (MI) - No Prior Coronary Revascularization Procedures - No Patients with ≥ 70% Obstructive Coronary Disease Who Should NOT Join This Trial: - ST Elevation Myocardial Infarction (STEMI) Activation - ST Changes or new T-wave inversions ≥1mm on ECG - Any Elevated Troponin Measure (Based on Sex-Specific 99th Percentile) - Serial change between Troponin Measures (Delta) ≥5 pg/mL - Stress Echocardiography, Nuclear Stress Test, Stress ECG, Stress Cardiac MRI, Coronary CT Angiogram (CCTA), Invasive Coronary Angiography (Cardiac Cath) within 1 year - "Clean" CCTA or Cardiac Cath (0% stenosis in all vessels) within the past 2 years - Chest Trauma - Pregnancy - Life Expectancy \< 1 year - Other comorbid conditions requiring hospitalization - Unstable Vitals (Blood Pressure \<90, Heart Rate \>120 or \<50, O2 Sat \<90%) - End Stage Renal Disease; Dialysis or estimated glomerular filtration rate (eGFR) \<30 mL/min - Transfers From Another Hospital - Non-English Speaking - Prisoners - Prior Enrollment - Already Enrolled in Other Interventional Trial Always talk to your doctor about whether this trial is right for you.