1st June 2026

Ms Sarah Adams, a 65-year-old female with a history of diabetes and hypertension, presents with a 2-hour history of chest pain, radiating to her left arm.

Ms Sarah Adams, a 65-year-old female with a history of diabetes and hypertension, presents with a 2-hour history of chest pain, radiating to her left arm. Her blood pressure is 150/90 mmHg, and a troponin test reveals an initial level of 0.06 ng/mL (ref <0.034 ng/mL), which increases to 0.15 ng/mL after 2 hours.

Her ECG shows ST-depression in leads II and V4-V6.  Which of the following is the most likely diagnosis?

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