Question

A 62-year-old man with acute STEMI presents to a small rural hospital without PCI capability. Telehealth consultation with a cardiologist is available. His symptoms began 4 hours ago. Fibrinolysis has been given. What is the next best step according to rural STEMI pathways?

Accepted Answer

Arrange transfer to a PCI-capable centre for early angiography after fibrinolysis

Answer

Keep him at the rural hospital for the remainder of his care

Answer

Repeat fibrinolysis in 12 hours routinely

Answer

Discharge home after 24 hours if pain free

Answer

Avoid telehealth consultation in decision-making

Practice question

A 62-year-old man with acute STEMI presents to a small rural hospital without PCI capability. Telehealth consultation with a cardiologist is available. His symptoms began 4 hours ago. Fibrinolysis has been given. What is the next best step according to rural STEMI pathways?