<prompt> A 78 year old male is admitted with chest pain. His ECG shows widespread ST depression in all leads except aVR which shows ST elevation. Whilst in ER, he passes melaena and on fuher questioning, gave history of altered bowel habit, weight loss and dark stools for 2-3 months. OE he is pale, pulse rate is 115 bpm and BP is 8050 mmHg. Blood tests demonstrate a hemoglobin of 3.6gl and a high-sensitivity troponin of 140ngl. What is the best initial management?Aggressive treatment with dual antiplateletsPacked RBC transfusionNitrates to relieve ischemiaBeta blocker to slow hea rate and reduce ischaemia  <response>: Dx is NSTEMI : Type 2 MI due to Anemia Option A : No, as he is already having GI bleeding, so antiplatelet therapy is not given. Option B : Yes, packed RBC transfusion is useful for anemia component to oxyhemoglobin. Option C : Nitrates are CI if Systolic B.P 80 mm Hg Option D : Hes already having hypotension b blockers are CI in hypotension 