Question

A 34-year-old with pleuritic chest pain, worse lying flat and improved leaning forward, has a pericardial rub and diffuse concave ST elevation with PR depression. Troponin mildly raised. What is the first-line management?

Accepted Answer

High-dose ibuprofen plus gastroprotection

Answer

Immediate thrombolysis

Answer

High-dose prednisolone as monotherapy

Answer

No treatment; observe only

Answer

Start long-term anticoagulation

Practice question

A 34-year-old with pleuritic chest pain, worse lying flat and improved leaning forward, has a pericardial rub and diffuse concave ST elevation with PR depression. Troponin mildly raised. What is the first-line management?