A 72-year-old man presents with acute-onset central chest pain radiating to the left arm, lasting 40 minutes. ECG shows ST-elevation in leads II, III,...

Question

A 72-year-old man presents with acute-onset central chest pain radiating to the left arm, lasting 40 minutes. ECG shows ST-elevation in leads II, III, and aVF. What is the most appropriate immediate management step according to current guidelines?

Accepted Answer

Arrange urgent coronary angiography with PCI

Answer

Administer sublingual GTN and reassess in 15 minutes

Answer

Give intravenous beta-blockers

Answer

Begin intravenous heparin infusion

Answer

Obtain a chest X-ray before further intervention

ST-elevation myocardial infarction — UKMLA MCQ

A 72-year-old man presents with acute-onset central chest pain radiating to the left arm, lasting 40 minutes. ECG shows ST-elevation in leads II, III, and aVF. What is the most appropriate immediate management step according to current guidelines?