STEMI — MRCEM SBA MCQ

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ModerateCoronary RevascularizationSTEMIMRCEM SBA

A 62-year-old with suspected STEMI presents to a rural ED; PCI-capable hospital transfer would exceed 120 minutes. Management?

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Correct answer: A — Administer fibrinolysis within 30 minutes of arrival and arrange transfer

When first medical contact-to-device time exceeds 120 minutes

Reference: the reperfusion strategy is fibrinolysis (door-to-needle ≤30 minutes) per contemporary US ACC/AHA/SCAI guidance; transfer for rescue PCI if needed. B/D: Delays worsen outcomes. C/E: Not appropriate definitive therapy for STEMI in this setting.