<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 50-year-old man presents to the emergency department with a complaint of crushing chest pain. The pain started suddenly 30 minutes ago while he was walking his dog. The patient also complains of difficulty breathing and palpitations. The pain is described as starting behind the sternum and moving towards the left jaw. Medical history includes recently diagnosed hypercholesterolemia and peptic ulcer disease. He currently takes atorvastatin and omeprazole. The patient has smoked a pack of cigarettes per day for 10 years and consumes 23 beers on the weekends. His blood pressure is 14890 mm Hg, the pulse is 106min, and the respiratory rate is 22min. Examination shows him to be visibly distressed, diaphoretic, and slightly hunched over. Aspirin is administered and blood work is sent to the laboratory. His ECG is shown in the picture. What is the best next step for this patient?? A: Start heparin infusion and ICU admission, B: Perform an urgent bedside echocardiography, C: Urgent percutaneous coronary intervention, D: Monitor closely and wait for cardiac troponin levels, E: Order an urgent chest CT scan and provide analgesia,  <response>: This is a patient presenting with typical symptoms of an acute myocardial infarction heart attack. The key findings are the sudden onset crushing chest pain radiating to the jaw, associated with diaphoresis, dyspnea, and palpitations. His risk factors include smoking, hypercholesterolemia, male gender, and age over 50. The ECG shows ST segment elevation consistent with an acute STEMI ST elevation myocardial infarction. The best next step is option C - urgent percutaneous coronary intervention PCI. This patient is having an ST elevation MI and meets criteria for emergent cardiac catheterization and revascularization. Heparin, echocardiography, troponin levels, and CT scan may be appropriate at some point but are not the most urgent next step. C: Urgent percutaneous coronary intervention 