Question

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

Accepted Answer

Administer fibrinolysis within 30 minutes of arrival and arrange transfer

Answer

Wait for PCI regardless of transfer time

Answer

Give clopidogrel only and observe

Answer

Start heparin and delay reperfusion until repeat ECG

Answer

Immediate CABG consult

Practice question

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