Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 62yo Woman | Cardiology | SMLE Q#18824
SMLE Question #18824
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: March 2026
A 62-year-old woman with type 2 diabetes mellitus, hypertension, dyslipidemia, and ischemic stroke 1 month ago presents to a PCI-capable ED with 3 hours of central chest pain. She denies dyspnea or palpitations. Medications include insulin, lisinopril, metoprolol, atorvastatin, and aspirin. She has received sublingual nitroglycerin and analgesia. ECG shows ST-segment elevation in leads V2–V5 with reciprocal ST depression in inferior leads. What is the most appropriate next step in management?
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