A 58-year-old man with known ischaemic heart disease attends the emergency department with central chest pain at rest for 45 minutes. His ECG shows 2 ...

Question

A 58-year-old man with known ischaemic heart disease attends the emergency department with central chest pain at rest for 45 minutes. His ECG shows 2 mm ST elevation in leads II, III and aVF. What is the most appropriate immediate management?

Accepted Answer

Activate the primary PCI pathway and give aspirin 300 mg

Answer

Arrange an exercise treadmill test

Answer

Give sublingual glyceryl trinitrate and review in 2 hours

Answer

Start a beta blocker and organise outpatient angiography

Answer

Discharge with proton pump inhibitor therapy and review in clinic

uk-plab-1 MCQ (SBA): ST-elevation myocardial infarction – initial management

A 58-year-old man with known ischaemic heart disease attends the emergency department with central chest pain at rest for 45 minutes. His ECG shows 2 mm ST elevation in leads II, III and aVF. What is the most appropriate immediate management?