A 27-year-old man has sharp pleuritic chest pain worse lying flat and improved sitting forward. ECG shows widespread concave ST elevation with PR depr...

Question

A 27-year-old man has sharp pleuritic chest pain worse lying flat and improved sitting forward. ECG shows widespread concave ST elevation with PR depression. Troponin is normal. What is the most appropriate initial treatment?

Accepted Answer

High-dose ibuprofen plus gastroprotection

Answer

Immediate thrombolysis

Answer

Start a beta-blocker

Answer

Oral amiodarone

Answer

No treatment is required

ukmla MCQ (SBA): Acute Pericarditis

A 27-year-old man has sharp pleuritic chest pain worse lying flat and improved sitting forward. ECG shows widespread concave ST elevation with PR depression. Troponin is normal. What is the most appropriate initial treatment?