25th May 2025

A 53-year-old male presents to ED following two hours of ongoing central chest pain.

A 53-year-old male presents to ED following two hours of ongoing central chest pain. His initial ECG shows features of ischaemia, but no ST elevation is noted. The pain settles and he is managed with antiplatelet therapy and admitted. On the ward, he reports feeling lightheaded with further onset of pain. A 12 lead ECG is taken and shown below. His blood pressure is recorded as 63/41 mmHg. How would you manage this patient initially?

Select the SINGLE most appropriate option from the list below. Select ONE option only.