Question

A 62-year-old man with suspected anterior STEMI (persistent chest pain, 2 mm ST elevations V2-V4) presents 80 minutes after onset. PCI is available within 90 minutes. Best strategy?

Accepted Answer

Immediate primary PCI

Answer

Immediate fibrinolysis

Answer

Medical therapy only and observe

Answer

Wait for cardiac enzymes before action

Answer

Transfer for fibrinolysis despite PCI availability

Practice question

A 62-year-old man with suspected anterior STEMI (persistent chest pain, 2 mm ST elevations V2-V4) presents 80 minutes after onset. PCI is available within 90 minutes. Best strategy?