3 Hours Of Sudden-onset in Medicine / Internal Medicine — 62yo Woman | Cardiology | SMLE Q#16885
SMLE Question #16885
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 62-year-old woman with type 2 diabetes mellitus, long-standing hypertension, dyslipidemia, and an ischemic stroke 1 month ago presents with 3 hours of sudden-onset central chest pain. She has no dyspnea, palpitations, or loss of consciousness. Her medications include insulin, lisinopril, metoprolol, atorvastatin, and aspirin. ECG shows ST-segment elevation in anterior leads. She has received aspirin, sublingual nitroglycerin, and IV analgesia. What is the most appropriate next step in management?
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