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EasyCardiologyAcute pericarditisca-mccqe1ca-rcpsc-im

A 45‑year‑old woman presents with central chest pain worse when lying flat and improved when sitting forward. She had a recent viral upper respiratory infection. Examination reveals a pericardial friction rub. ECG shows diffuse ST‑segment elevation with PR depression. Echocardiogram shows a small pericardial effusion without tamponade. What is the most appropriate initial treatment?

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