5th May 2025

Mr Taylor is a 45-year-old male who presents to the emergency department in an ambulance with shortness of breath and chest heaviness.

Mr Taylor is a 45-year-old male who presents to the emergency department in an ambulance with shortness of breath and chest heaviness. He states the symptoms came on suddenly whilst he was at work and noticed feeling slightly sweaty and breathless whilst working on his laptop. He has a past medical history of type 2 diabetes, hypertension and hypercholesterolemia. The triage nurse reports his vitals as: heart rate of 43 beats per minute, blood pressure 105/70mmHg and saturations of 97% on room air. He is afebrile and breathing normally. He states feeling slightly better after receiving some oral morphine with the paramedics an hour ago. He denied receiving any other medications when you see him. You are awaiting results of his blood tests. Which of the following is the most appropriate immediate next step in Mr Taylor’s management given the likely cause of his symptoms?

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