Question

A 59-year-old man with suspected STEMI arrives to the ED 40 minutes after chest pain onset. ECG shows 3 mm ST elevation in V2-V4. PCI-capable hospital can take him in 60 minutes. Best reperfusion plan?

Accepted Answer

Primary PCI within 90 minutes of arrival

Answer

Fibrinolysis now

Answer

No reperfusion; start heparin only

Answer

Transfer to non-PCI center for fibrinolysis

Answer

Wait for troponin before action

Practice question

A 59-year-old man with suspected STEMI arrives to the ED 40 minutes after chest pain onset. ECG shows 3 mm ST elevation in V2-V4. PCI-capable hospital can take him in 60 minutes. Best reperfusion plan?