Weekend discussion 2

For our second weekend discussion we consider the case of a 45 years Chinese male, a known hypertensive and diabetic, presented to the ER with a history of severe retrosternal chest pains that seemed to be coming in waves and which started about 3 hours earlier. The ECG is as shown.



The attending medical officer did a troponin T which was positive. He gave the patient a sublingual cardiprin, and contacted the cardiologist on call.

Discussion :
1. What is your diagnosis?
2. What do you think is the best treatment strategy for this patient and why?