Last updated on: October 18th, 2020

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Heart Failure IV

A 66-year-old man is brought to the emergency department because of a 2-hour history of crushing substernal chest pain radiating to the left shoulder. His pulse is 100/min and blood pressure is 85/50 mmHg. Pulse oximetry on room air shows an oxygen saturation of 92%. His peripheries are cold. An ECG shows deep symmetric T-wave inversion in the lateral leads. Which of the following is the most appropriate next step in management?