1st June 2026

Mr James Wilson, a 68-year-old male with unstable angina, is assessed for risk stratification.

Mr James Wilson, a 68-year-old male with unstable angina, is assessed for risk stratification. His ECG shows new ST depression, and his serum troponin levels are mildly elevated (0.05 ng/mL). He also has a history of diabetes, hypertension, and chronic kidney disease. He is asymptomatic at rest and has no significant cardiac findings on examination. Which of the following is most strongly associated with a poor prognosis in this patient?

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