Question

A 58-year-old with 90 minutes of central chest pain and anterior ST-segment elevation on ECG is 40 minutes from a PCI-capable centre. What is the best reperfusion strategy?

Accepted Answer

Transfer for primary PCI aiming door-to-balloon within 120 minutes

Answer

Immediate fibrinolysis at the current hospital

Answer

Start IV heparin and await spontaneous reperfusion

Answer

Urgent stress testing then PCI

Answer

Primary PCI only if pain persists >3 hours

Practice question

A 58-year-old with 90 minutes of central chest pain and anterior ST-segment elevation on ECG is 40 minutes from a PCI-capable centre. What is the best reperfusion strategy?