A 32-year-old woman presents with sharp pleuritic chest pain improved by sitting forward. She had a viral upper respiratory infection 1 week ago. ECG ...

Question

A 32-year-old woman presents with sharp pleuritic chest pain improved by sitting forward. She had a viral upper respiratory infection 1 week ago. ECG shows diffuse concave ST elevation and PR depression. Troponin is normal, and echocardiogram shows no significant effusion. What is the most appropriate initial treatment?

Accepted Answer

Non-steroidal anti-inflammatory drug plus colchicine

Answer

High-dose acetylsalicylic acid alone

Answer

Colchicine alone

Answer

Systemic corticosteroids as first line

Answer

Immediate pericardiocentesis

ca-mccqe1 MCQ (SBA): Acute pericarditis