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EasyCardiologyST-Elevation Myocardial Infarctionus-abemus-abimus-usmle-step-2us-usmle-step-3

A 64-year-old man presents with 45 minutes of crushing substernal chest pain radiating to the left arm associated with diaphoresis. ECG shows ST-segment elevations in leads II, III, and aVF. Symptoms started 90 minutes ago. There are no contraindications to therapy. What is the most appropriate immediate reperfusion strategy?

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