A 62 year old man presents to a small rural emergency department with 2 hours of chest pain and anterior STEMI on ECG. The nearest PCI capable centre ...

Question

A 62 year old man presents to a small rural emergency department with 2 hours of chest pain and anterior STEMI on ECG. The nearest PCI capable centre is 4 hours away by road. Which reperfusion strategy is most appropriate?

Accepted Answer

Immediate fibrinolytic therapy if no contraindications, with transfer to PCI centre afterwards

Answer

No reperfusion if PCI is delayed

Answer

Wait for PCI only

Answer

Aspirin alone

Answer

Glyceryl trinitrate infusion alone

au-acem MCQ (SBA): Rural: STEMI with long transfer time

A 62 year old man presents to a small rural emergency department with 2 hours of chest pain and anterior STEMI on ECG. The nearest PCI capable centre is 4 hours away by road. Which reperfusion strategy is most appropriate?