Question

A 54-year-old with chest pain and ST-elevation in leads V2-V4. Pain started 45 minutes ago. Nearest PCI center is 30 minutes away. According to NICE, what is the recommended reperfusion strategy?

Accepted Answer

Primary PCI if it can be performed within 120 minutes of first medical contact

Answer

Fibrinolysis immediately

Answer

Subcutaneous low molecular weight heparin only

Answer

Oral clopidogrel only

Answer

No reperfusion required if pain is less than 1 hour

Practice question

A 54-year-old with chest pain and ST-elevation in leads V2-V4. Pain started 45 minutes ago. Nearest PCI center is 30 minutes away. According to NICE, what is the recommended reperfusion strategy?