A 29-year-old woman has pleuritic chest pain 3 weeks after a viral illness. ECG shows diffuse ST elevation and PR depression, troponin is normal, CRP

Question

A 29-year-old woman has pleuritic chest pain 3 weeks after a viral illness. ECG shows diffuse ST elevation and PR depression, troponin is normal, CRP is elevated, and echocardiography shows no effusion. She is haemodynamically stable and has no renal disease. What is the most appropriate next step?

Accepted Answer

NSAID plus colchicine and activity restriction

Answer

Immediate coronary angiography

Answer

Oral anticoagulation

Answer

Permanent pacemaker insertion

Answer

High-dose prednisone as first-line treatment

Acute pericarditis — RCPSC IM MCQ

A 29-year-old woman has pleuritic chest pain 3 weeks after a viral illness. ECG shows diffuse ST elevation and PR depression, troponin is normal, CRP is elevated, and echocardiography shows no effusion. She is haemodynamically stable and has no renal disease. What is the most appropriate next step?