Question

A 49-year-old man presents with central crushing chest pain lasting 40 minutes, diaphoresis, and nausea. Pre-hospital ECG shows ST elevation in V2-V4. He is 80 minutes from PCI centre. What is the preferred reperfusion strategy?

Accepted Answer

Immediate fibrinolysis if PCI cannot be delivered within 120 min

Answer

Wait for PCI regardless of delay

Answer

No reperfusion if pain improving

Answer

Give clopidogrel only

Answer

Start heparin only

Practice question

A 49-year-old man presents with central crushing chest pain lasting 40 minutes, diaphoresis, and nausea. Pre-hospital ECG shows ST elevation in V2-V4. He is 80 minutes from PCI centre. What is the preferred reperfusion strategy?