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29th February 2024
A 56-year-old man presents to the emergency department with central chest pain radiating to his jaw, which was brought on by mild exertion in the cold air.
A 56-year-old man presents to the emergency department with central chest pain radiating to his jaw, which was brought on by mild exertion in the cold air.
He used his GTN spray, which helped to settle the pain. He is currently pain-free, but he is concerned as he does not usually have any episodes of chest pain. He was given a loading dose of aspirin 300mg PO by the ambulance crew.
PM. Stable angina, asthma DH. GTN spray 1-2 sprays sublingually as required, atorvastatin 80mg PO daily, aspirin 75mg PO daily, Salbutamol 200 micrograms INH as required, beclomethasone dipropionate 200 micrograms INH 12-hrly, montelukast 10 mg PO daily. SH. Current smoker.
On examination
Temperature 36.9, HR 92/min and rhythm regular, BP 143/78 mmHg, RR 16/min, O2 sat 98% on air
Investigations
A 12-lead ECG showed no acute changes.
Troponin at baseline – 12, 2 hours – 12, 4 hours – 11
Please select the most appropriate further management for this patient:
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