A 65-year-old man presents 1 hour after sudden onset of crushing chest pain. ECG shows ST elevation in V1-V4. The nearest PCI-capable centre is 4 hour...

Question

A 65-year-old man presents 1 hour after sudden onset of crushing chest pain. ECG shows ST elevation in V1-V4. The nearest PCI-capable centre is 4 hours away by ground and air transport is not available. What is the most appropriate reperfusion strategy?

Accepted Answer

Administer intravenous fibrinolytic therapy as soon as possible

Answer

No reperfusion; give medical therapy only

Answer

Wait until arrival at PCI centre to provide reperfusion

Answer

Start heparin only

Answer

Give high-dose beta-blocker to reduce infarct size

ca-mccqe1 MCQ (SBA): STEMI reperfusion in remote setting

A 65-year-old man presents 1 hour after sudden onset of crushing chest pain. ECG shows ST elevation in V1-V4. The nearest PCI-capable centre is 4 hours away by ground and air transport is not available. What is the most appropriate reperfusion strategy?