Question

A 50-year-old man presents with central, pleuritic chest pain that improves when leaning forward. ECG shows widespread ST elevation with PR depression. Troponin is normal. What is the most appropriate initial treatment?

Accepted Answer

High-dose non-steroidal anti-inflammatory drug and rest

Answer

Immediate thrombolysis

Answer

Urgent coronary angiography

Answer

Long-term warfarin therapy

Answer

No treatment as this is benign

Practice question

A 50-year-old man presents with central, pleuritic chest pain that improves when leaning forward. ECG shows widespread ST elevation with PR depression. Troponin is normal. What is the most appropriate initial treatment?