A 45-year-old man with no significant past medical history presents to the Emergency Department with sudden onset severe central chest pain radiating ...

Question

A 45-year-old man with no significant past medical history presents to the Emergency Department with sudden onset severe central chest pain radiating to his left arm, starting 1 hour ago. He is sweaty and nauseous. His ECG shows ST elevation of 3mm in leads V2-V4. What is the most appropriate immediate management?

Accepted Answer

Aspirin 300mg orally, then urgent primary PCI

Answer

Sublingual GTN and observe

Answer

Morphine IV and arrange non-urgent cardiology follow up

Answer

Perform troponin test and await result before further action

Answer

Administer IV unfractionated heparin only

ukmla MCQ (SBA): Acute Myocardial Infarction (STEMI)