A 62-year-old man presents with central chest pain. ECG shows ST-segment elevation in the anterior leads (V1-V4). He is diagnosed with a STEMI. The ho...

Question

A 62-year-old man presents with central chest pain. ECG shows ST-segment elevation in the anterior leads (V1-V4). He is diagnosed with a STEMI. The hospital does not have PCI facilities. The nearest PCI centre is estimated to be 150 minutes away by ambulance transfer. What is the most appropriate reperfusion strategy?

Accepted Answer

Fibrinolysis (e.g., Alteplase) followed by transfer to PCI centre

Answer

Immediate transfer for Primary PCI

Answer

Fibrinolysis followed by admission to local coronary care unit

Answer

Medical management only (Aspirin, Ticagrelor, Heparin)

Answer

Urgent CABG

ukmla MCQ (SBA): ST-Elevation Myocardial Infarction (STEMI) Reperfusion