What Is Your Diagnosis ? What Is The Primary Management Steps?

A 60-year-old man is brought to the emergency department with severe chest pain.
He says it began about an hour ago while he was climbing stairs and has persisted,
despite resting. He describes it as “tightness” in the center of his chest. He has been
short of breath, nauseated, and sweating since the pain began. On questioning, he
reports a history of similar pain brought on by exertion, but it usually resolves with
rest. He also has a history of diabetes mellitus type 2, hypertension, and a 30-pack-year
smoking history. His father and cousin both died of heart attacks in their seventies. He
takes metformin, hydrochlorothiazide, and a multivitamin. Vital signs include a
temperature of 37.0°C (98.6°F), blood pressure of 150/90 mm Hg, pulse rate of
100/min, respiratory rate of 15/min, and oxygen saturation of 99% on room air.
Results of physical examination are unremarkable. X-ray of the chest reveals clear
lungs with a normal-sized heart and mediastinum. An ECG was done

 Right Answer Is :acute transmural anteroseptal myocardial infarction as evidenced by presence of ST elevation in anterior chest leads , with ST depression of inferior leads which may be receprocal changes or rises a possibilty of inferior wall anginal pain

Primary Management Steps Are:
ABCs (Airway, Breathing, Circulation) assessed and secured
12-lead ECG... See More
Cardiac monitor
Oxygen
IV access
Resuscitation equipment at hand
Chewed oral aspirin (162 or 325 mg)
Nitrates and morphine
Heparin
β-blocker (if no hypotension, in cardiogenic shock or high degree
AVN block)
Insulin as needed to normalize blood glucose