USMLE Step 2 CK

Practice session

A 58-year-old man presents with crushing chest pain radiating to his left arm. The pain started 30 minutes ago while he was at rest. He is diaphoretic and short of breath. Vital signs: BP 100/60 mmHg, HR 110 bpm, RR 22/min, SpO2 92% on room air. ECG shows ST-segment elevation in leads II, III, and aVF. Which is the most appropriate next step in management?

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