Question

A 45-year-old man presents with pleuritic chest pain that improves when sitting up and leaning forward. He had a viral illness 1 week ago. ECG shows widespread concave ST elevation and PR depression. Troponin is normal. What is the most appropriate initial treatment?

Accepted Answer

High-dose ibuprofen and rest

Answer

Immediate thrombolysis

Answer

Urgent coronary angiography

Answer

Oral amiodarone

Answer

High-dose systemic corticosteroids as monotherapy

Practice question

A 45-year-old man presents with pleuritic chest pain that improves when sitting up and leaning forward. He had a viral illness 1 week ago. ECG shows widespread concave ST elevation and PR depression. Troponin is normal. What is the most appropriate initial treatment?