A 29-year-old patient presents with sudden pleuritic chest pain and ST elevation limited to leads II, III, aVF with reciprocal ST depression in I and ...

Question

A 29-year-old patient presents with sudden pleuritic chest pain and ST elevation limited to leads II, III, aVF with reciprocal ST depression in I and aVL. BP 92/58, JVD present, clear lungs. What is the immediate management priority?

Accepted Answer

Administer IV fluids bolus

Answer

Administer sublingual nitroglycerin

Answer

Give IV morphine

Answer

Start high-dose beta-blocker

Answer

Immediate thrombolysis contraindicated

us-abem MCQ (SBA): Right ventricular infarction

A 29-year-old patient presents with sudden pleuritic chest pain and ST elevation limited to leads II, III, aVF with reciprocal ST depression in I and aVL. BP 92/58, JVD present, clear lungs. What is the immediate management priority?