Patient’s past medical history includes diabetes mellitus and hypertension diagnosed 6 years ago, ischemic heart disease (IHD) since 3 years ago, for which the last hospital admission was 11 months ago.

Mr Balram a 49-year-old male, has been admitted to hospital in the late evening for a case of unstable angina. Presenting complaints include left-sided chest pain which was less severe than that of his previous admission and localized pain during rest. Other symptoms are profuse sweating as well as nausea and vomiting, orthopnea and paroxysmal nocturnal dyspnea, cough and fever.

Patient’s past medical history includes diabetes mellitus and hypertension diagnosed 6 years ago, ischemic heart disease (IHD) since 3 years ago, for which the last hospital admission was 11 months ago.

Using the information about Mr Balram, discuss your management of the patient with evidence to support your management