<prompt> A 40 yrs old male chronic smoker comes with acute epigastric discomfo for past one hour .ECG showing ST segment elevation in inferior leads . What is the immediate interventionAsprinThrombolytic therapyIV PANTAPROZOLBeta blockers  <response>: Ref Harrison 19 th ed pg 1596 Initial treatment should begin with the platelet cyclooxygenase inhibitor aspirin. The typical initial dose is 325 mgd, with lower doses 75-100 mgd recommended thereafter. Contraindications are active bleeding or aspirin intoler- ance. Aspirin resistance has been noted in 2-8 of patients but frequently has been related to noncompliance. 