A 32-year-old anxious-appearing male is wheeled into the emergency room with the sudden onset
of excruciating left-sided chest pain. His temperature is 37.2C (99F), blood pressure is 160/88 mmHg, pulse
is 125/min, regular and respirations are 20/min. Physical examination is normal, exceptfor multiple venous
track marks on his extremities and atrophic nasal mucosa. An EKG is done which shows ST depression and
Twave inversion in leads V1-V6. Cardiac enzymes including CK-MB and Troponin T are not elevated. Which
of the following is the most appropriate next step in the management of this patient?
IE> A Cardiac catheterization
IE> B. Administer metoprolol
IE> C. Administer thrombolytics
IE> D. Close observation
IE> E. Intravenous diazepam
of excruciating left-sided chest pain. His temperature is 37.2C (99F), blood pressure is 160/88 mmHg, pulse
is 125/min, regular and respirations are 20/min. Physical examination is normal, exceptfor multiple venous
track marks on his extremities and atrophic nasal mucosa. An EKG is done which shows ST depression and
Twave inversion in leads V1-V6. Cardiac enzymes including CK-MB and Troponin T are not elevated. Which
of the following is the most appropriate next step in the management of this patient?
IE> A Cardiac catheterization
IE> B. Administer metoprolol
IE> C. Administer thrombolytics
IE> D. Close observation
IE> E. Intravenous diazepam