Blood Testsa. Check cardiac enzymes like Troponin I or T to rule out heart muscle injury.

Repeat ECG and Monitoringa. Consider repeating the ECG and using Holter monitoring for intermittent changes.

Imaging Studiesa. Perform an echocardiogram to assess heart function and detect abnormalities.

Stress Testinga. Conduct stress tests to evaluate for inducible ischemia if initial tests are inconclusive.

Coronary Angiographya. Consider this if symptoms persist or tests suggest ischemia.

Specialist Consultationa. Consult a cardiologist for comprehensive evaluation and management.