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ModerateCardiovascularST elevation myocardial infarctionuk-plab-1

A 58 year old man presents to the emergency department with 90 minutes of central crushing chest pain radiating to his left arm. His ECG shows 3 mm ST elevation in leads V2–V4 with reciprocal ST depression in the inferior leads. He is haemodynamically stable and the catheter laboratory is available. What is the most appropriate next step in his management?

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