1 MCQs in Medicine for NEET PG
A 58-year-old man with diabetes and hypertension presents to the emergency department with acute-onset substernal chest pain radiating to the back, diaphoresis, and dyspnea for 2 hours. His 12-lead ECG shows the pattern marked **A** in the diagram: horizontal ST depression (1.2 mm) with tall upright R-waves (R/S ratio 1.5 in V2) and upright T-waves in leads V1–V3. Troponin I is elevated at 2.8 ng/mL. Which of the following is the most appropriate IMMEDIATE next step in management?
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