A 58-year-old woman presents to the emergency department with severe central chest pain radiating to her left arm and jaw for the past 2 hours. The pain started while climbing stairs and is associated with sweating, nausea, and shortness of breath. She has a history of hypertension, type 2 diabetes mellitus, hyperlipidemia, and smoking. Her blood pressure is 160/95 mmHg, heart rate is 108 bpm, and oxygen saturation is 93% on room air. ECG shows ST-segment elevation in leads II, III, and aVF, and her troponin I level is elevated.
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