]> 2026-07-31T07:52:55+00:00 WBR1125 0 en Oral ibuprofen High dose aspirin Oral corticosteroids Urgent cardiac catherization There is no evidence of myocardial ischemia or infarction in this patient. Hence urgent cardiac catherization is not needed in this patient. Subcutaneous heparin Emergency Room A 35 year old male comes to the emergency department with sudden onset of chest pain for the past 3 hours. The pain is retrosternal without any radiation to other areas and is exacerbated by inspiration. He is not a smoker and does not consume alcohol. His past history is insignificant and family history is unremarkable. On examination, his vitals are temperature 38.2 degree Celsius, pulse: 106/min, blood pressure: 130/70 mmHg and respirations: 22/min. His pulse oximetry reading is 94 % in room air. Cardiovascular system examination reveals a high pitched, scratchy sound at the left sternal border with regular heart sounds. Other system examinations are normal. An urgent electrocardiogram done reveals diffuse ST segment elevation in leads V2 to V5 with reciprocal ST depression in leads aVR and V1. What is the most appropriate next step in the management of this patient? A Cardiovascular 2020-10-28T02:41:42Z 2459150.6122917 WBR1125