A 60-year-old man has severe chest pain; suspected STEMI but presents to a facility without PCI. It has been 90 minutes since first medical contact; t...

Question

A 60-year-old man has severe chest pain; suspected STEMI but presents to a facility without PCI. It has been 90 minutes since first medical contact; transfer time to PCI is estimated at 150 minutes. What is recommended?

Accepted Answer

Administer fibrinolysis now if no contraindications

Answer

Wait for PCI-capable transfer despite delay

Answer

Give half-dose fibrinolysis and transfer

Answer

Start clopidogrel only and observe

Answer

Perform thrombolysis only after 12 hours

us-abem MCQ (SBA): STEMI Reperfusion Strategy

A 60-year-old man has severe chest pain; suspected STEMI but presents to a facility without PCI. It has been 90 minutes since first medical contact; transfer time to PCI is estimated at 150 minutes. What is recommended?