Question

A 55-year-old man with crushing chest pain for 2 hours is diagnosed with ST-elevation myocardial infarction (STEMI). According to NICE guidelines, if primary PCI cannot be performed within the recommended time frame, what is the next best option?

Accepted Answer

Fibrinolysis (thrombolysis) and transfer for rescue PCI if needed

Answer

Immediate coronary artery bypass graft

Answer

Start a beta-blocker and observe

Answer

Coronary angiography in 24 hours

Answer

Glycoprotein IIb/IIIa inhibitors alone

Practice question

A 55-year-old man with crushing chest pain for 2 hours is diagnosed with ST-elevation myocardial infarction (STEMI). According to NICE guidelines, if primary PCI cannot be performed within the recommended time frame, what is the next best option?