Question

A 60-year-old with suspected ACS and ST-elevation in a non-PCI hospital; anticipated transfer time >120 minutes. Next best reperfusion step?

Accepted Answer

Administer fibrinolysis within 30 minutes of arrival

Answer

Wait for transfer for PCI regardless of delay

Answer

Start fondaparinux and delay reperfusion

Answer

Give clopidogrel only

Answer

Use intra-aortic balloon pump as bridge

Practice question

A 60-year-old with suspected ACS and ST-elevation in a non-PCI hospital; anticipated transfer time >120 minutes. Next best reperfusion step?