system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
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 intervention
assistant
The correct answer is  Ref Harrison 19 th ed pg 1596 Initial treatment should begin with the platelet cyclooxygenase inhibitor aspirin. The typical initial dose is 325 mg/d, with lower doses (75-100 mg/d) 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.