Jaw pain

A 63 year old lady presents with continuous jaw pain for 20 minutes which was acute in onset and dull and aching in nature.

During the preceding few months, she had experienced several episodes of jaw pain following exertion.

She was diagnosed with diabetes and hypertension 9 and 6 years ago respectively. She does not smoke.

An ECG performed a week ago was normal.

Select Relevant Investigations
ECG

Performed

There are deep symmetric T-inversions in leads II, III, and AvF
Troponin-T assays

Performed

The Troponin-T assays at admission and at 12 hours are both negative.
Exercise ECG stat

Performed

You realize that performing an exercise ECG right now might be a bad idea.
Echocardiogram

Performed

The echocardiogram shows a left ventricular ejection fraction of 65% with no regional wall motion abnormalities and mild diastolic dysfunction. The left ventricular volume is normal.

Select Relevant Management
Ibuprofen
Enoxaparin
Reteplase
Coronary angioplasty stat