A 78-Year-Old Man with Mild Dementia Is Hospitalized Due to Chest

A 78-year-old man with mild dementia is hospitalized due to chest discomfort, breathing difficulty, and agitation.  He was initially diagnosed with an acute exacerbation of chronic obstructive pulmonary disease, but he was later found to have had an acute myocardial infarction.  The patient gets confused in the evening and refuses medications.  On the third day of hospitalization, he has sharp chest pain and does not want to lie down.  A friction rub is heard along the left sternal border.  Which of the following would have most likely prevented this patient's current condition?

A) Antibiotic prophylaxis
B) Anticoagulation with heparin infusion
C) Early coronary reperfusion
D) Early mobilization
E) High-dose beta blocker therapy

Correct Answer:

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