A 58-year-old man from Delhi presents to the emergency department 6 hours after the onset of acute anterior chest pain radiating to the left arm. ECG shows ST elevation in leads V1–V4. Troponin I is 2.8 ng/mL (normal <0.04). Blood pressure is 95/60 mmHg, heart rate 110/min, and JVP is elevated. Auscultation reveals a new holosystolic murmur at the apex. What is the most appropriate next step in management?

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