Question

A 55-year-old woman with suspected ACS has ischemic ECG changes and ongoing pain. Fibrinolysis is being considered but PCI is available within 90 minutes. Best reperfusion strategy?

Accepted Answer

Primary PCI

Answer

Administer fibrinolysis

Answer

No reperfusion

Answer

Delayed PCI after 24 hours

Answer

Thrombolysis followed by immediate PCI in all cases

Practice question

A 55-year-old woman with suspected ACS has ischemic ECG changes and ongoing pain. Fibrinolysis is being considered but PCI is available within 90 minutes. Best reperfusion strategy?