15th May 2025

You are the Acute med SHO in a district general hospital.

You are the Acute med SHO in a district general hospital. On the consultant ward rounds, your team  reviews a 53-year-old patient who is currently complaining of increased shortness of breath and chest  pain. She has a history of T2DM, hypertension, and AF. She is currently on metformin, bisoprolol and  hydralazine. Your consultant reviews the recent bloods and ECG, which show a raised WCC and CRP  with a raised Trop I and CK-MB. PR depression is seen in the limb leads and precordial leads on ECG.  

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