Question

A 40-year-old man presents with pleuritic chest pain that is worse lying flat and better sitting forward. ECG shows widespread concave ST elevation and PR depression. Troponin is normal. What is the most appropriate first-line treatment?

Accepted Answer

High-dose NSAID plus colchicine

Answer

High-dose corticosteroids alone

Answer

Immediate thrombolysis

Answer

No treatment is required

Answer

Long-term anticoagulation

Practice question

A 40-year-old man presents with pleuritic chest pain that is worse lying flat and better sitting forward. ECG shows widespread concave ST elevation and PR depression. Troponin is normal. What is the most appropriate first-line treatment?