Diaphoresis in Medicine / Internal Medicine — 58yo Man | Cardiology | SMLE Q#4352
SMLE Question #4352
Medicine / Internal Medicine
Cardiology
Objective: OBJ-417
Last updated: February 2026
A 58-year-old man presents to a rural emergency department 1 hour after onset of severe substernal chest pain radiating to the left arm with diaphoresis and nausea. ECG shows 3 mm ST-segment elevation in V2–V5. The hospital has no percutaneous coronary intervention capability, and transfer to a PCI center is expected to take more than 2 hours. He has no history of stroke, intracranial pathology, or recent major bleeding. What medication combination is most appropriate now?
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