Question

A 58-year-old woman presents with crushing central chest pain radiating to her left arm, lasting over 30 minutes. ECG changes suggest an ST-elevation myocardial infarction (STEMI). Which of the following, according to current UK recommendations, is the most appropriate initial reperfusion strategy for a confirmed STEMI if it can be delivered within the recommended window?

Accepted Answer

Percutaneous coronary intervention (PCI) within 120 minutes of first medical contact

Answer

Immediate intravenous fibrinolysis

Answer

Subcutaneous low molecular weight heparin only

Answer

Coronary artery bypass graft (CABG) surgery

Answer

Intensive medical management without reperfusion

Practice question