Question

A 58-year-old man presents with central crushing chest pain lasting 45 minutes, associated with nausea and sweating. ECG shows ST elevation in leads II, III and aVF. He first experienced pain 90 minutes ago. There is no contraindication to reperfusion. What is the most appropriate next step?

Accepted Answer

Start high-dose aspirin and organise urgent primary PCI

Answer

Give oral beta blocker only and observe

Answer

Start warfarin and arrange outpatient cardiology review

Answer

Arrange treadmill exercise test

Answer

Give sublingual GTN and discharge if pain settles

Practice question

A 58-year-old man presents with central crushing chest pain lasting 45 minutes, associated with nausea and sweating. ECG shows ST elevation in leads II, III and aVF. He first experienced pain 90 minutes ago. There is no contraindication to reperfusion. What is the most appropriate next step?