*Chief Complaint* A 42 yom presented at 9 in the morning with retrosternal chest pain for 6 hours. He described it as 8/10 intermittent pain which did not resolve on taking medication. *History* He has no past history of any heart disease. He has h/o surgery for appendicitis 7 years back. *Vitals* BP 179/100 mmHg, Respiratory rate 19 b/m, HR 69 beats/minute, Temp 98.1 degree C. *Investigations* ECG shows ST-segment elevation in II, III, and aVF, V6; and ST depression in aVL and V1-3. Another ECG showed more prominent ST elevation in II, III, aVF, and V5,6 and ST depression in aVL and V1-3. Coronary angiography - left anterior descending artery had a thrombosis in the distal segment. Rest everything looked fine. *Treatment* Opinion on the case?