A 27-year-old man presents with sharp pleuritic chest pain improved by sitting forward. ECG shows diffuse ST elevation with PR depression. Troponin is...

Question

A 27-year-old man presents with sharp pleuritic chest pain improved by sitting forward. ECG shows diffuse ST elevation with PR depression. Troponin is normal. What is the most appropriate initial management?

Accepted Answer

Start high-dose NSAIDs and consider colchicine

Answer

Start thrombolytic therapy

Answer

Start high-dose steroids immediately

Answer

Discharge without treatment

Answer

Admit for emergent PCI

ca-mccqe1 MCQ (SBA): Acute pericarditis

A 27-year-old man presents with sharp pleuritic chest pain improved by sitting forward. ECG shows diffuse ST elevation with PR depression. Troponin is normal. What is the most appropriate initial management?