Question

A 62-year-old man presents 90 minutes after onset of crushing chest pain. ECG shows ST-elevation in anterior leads. PCI centre is 40 minutes away. Best immediate management?

Accepted Answer

Dual antiplatelet therapy and transfer for primary PCI

Answer

Immediate fibrinolysis with alteplase

Answer

Heparin infusion only and observe

Answer

Give morphine and await troponin

Answer

Start beta-blocker and discharge if pain settles

Practice question

A 62-year-old man presents 90 minutes after onset of crushing chest pain. ECG shows ST-elevation in anterior leads. PCI centre is 40 minutes away. Best immediate management?