A 44-year-old man presents with chest pain 4 hours ago; ECG shows inferior STEMI. The PCI hospital estimates door-to-balloon time 80 minutes. Best rep...

Question

A 44-year-old man presents with chest pain 4 hours ago; ECG shows inferior STEMI. The PCI hospital estimates door-to-balloon time 80 minutes. Best reperfusion strategy?

Accepted Answer

Immediate primary PCI

Answer

Fibrinolysis in ED

Answer

Start anticoagulation only

Answer

Delay PCI for 4 hours

Answer

Thrombolysis then routine PCI in 24 hours

us-usmle-step-2 MCQ (SBA): STEMI

A 44-year-old man presents with chest pain 4 hours ago; ECG shows inferior STEMI. The PCI hospital estimates door-to-balloon time 80 minutes. Best reperfusion strategy?