Question

A 66-year-old man presents with chest pain and new ST-elevation MI (STEMI) 90 minutes from symptom onset. He is 30 minutes from a PCI-capable centre. What is the preferred reperfusion strategy?

Accepted Answer

Primary PCI as soon as possible

Answer

Immediate fibrinolysis with alteplase

Answer

Rescue PCI after fibrinolysis

Answer

Delayed angiography next day

Answer

Thrombolysis only if pain persists >6 hours

Practice question

A 66-year-old man presents with chest pain and new ST-elevation MI (STEMI) 90 minutes from symptom onset. He is 30 minutes from a PCI-capable centre. What is the preferred reperfusion strategy?