Question

A 59-year-old man presents 90 minutes after the onset of central crushing chest pain radiating to his left arm. ECG shows ST-segment elevation in leads II, III and aVF. He has no contraindications to reperfusion therapy. What is the most appropriate next step?

Accepted Answer

Administer Aspirin 300 mg and arrange immediate transfer for primary PCI

Answer

Offer sublingual Glyceryl Trinitrate and arrange routine cardiology clinic review

Answer

Start high-dose Simvastatin and arrange an exercise tolerance test

Answer

Start oral Warfarin and arrange coronary angiography within 6 weeks

Answer

Give Morphine and discharge once pain settles

Practice question

A 59-year-old man presents 90 minutes after the onset of central crushing chest pain radiating to his left arm. ECG shows ST-segment elevation in leads II, III and aVF. He has no contraindications to reperfusion therapy. What is the most appropriate next step?