A 65-year-old with crushing chest pain for 40 minutes, ST-elevations in V1-V4, and hypotension. Suspect cardiogenic shock. Immediate management?...

Question

A 65-year-old with crushing chest pain for 40 minutes, ST-elevations in V1-V4, and hypotension. Suspect cardiogenic shock. Immediate management?

Accepted Answer

Primary PCI within 120 minutes if possible

Answer

Immediate fibrinolysis if PCI not available within 24 hours

Answer

IV beta-blockers to control rate

Answer

Thrombolysis after 12 hours of chest pain onset

Answer

High flow oxygen for all patients

Emergency medicine & Acute presentations — MRCEM SBA MCQ