In the case of a patient diagnosed with NSTE-ACS, which finding would prompt invasive management?

In a patient diagnosed with Non-ST-Elevation Acute Coronary Syndrome (NSTE-ACS), the presence of ventricular tachycardia is particularly concerning and would warrant invasive management. Ventricular tachycardia indicates a potentially life-threatening arrhythmia that can compromise cardiac output and lead to more severe complications, such as ventricular fibrillation or sudden cardiac arrest.

Invasive management involves procedures like cardiac catheterization or possibly the placement of a stent, depending on the severity of the coronary artery disease identified. Prompt intervention in the setting of ventricular tachycardia is crucial because it suggests significant underlying cardiac instability that could progress rapidly if not addressed.

The other findings, while clinically relevant, do not signal the same immediate need for invasive management. Elevated blood pressure could suggest increased cardiac workload but does not directly indicate an urgent need for invasive procedures. Bradycardia, unless symptomatic or severe, may not require urgent intervention, and in some cases may even stabilize as a physiological response. The resolution of chest pain is a positive sign, indicating potential myocardial perfusion improvement, which generally would not require invasive management unless accompanied by other critical indicators, such as arrhythmias or hemodynamic instability.