Question 495 · LEK · Pericarditis

A 64-year-old male presented at the Emergency Department due to a stabbing chest pain, accompanied by fever up to 38 degrees Celsius and a dry cough. The ECG revealed generalised ST-segment elevation with simultaneous PQ-segment depression. Indicate the first-line treatment:

  1. A. nonsteroidal anti-inflammatory drugs (NSAIDs) and colchicine;.
  2. B. NSAIDs and ticagrelor;.
  3. C. NSAIDs and allopurinol;.
  4. D. ibuprofen and budesonide;.
  5. E. paracetamol (acetaminophen) and colchicine.
Hint

Widespread ST elevation with PR depression after a viral-type illness points to a pericardial disease; recall the standard two-drug regimen.

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