A 70-year-old with anterior STEMI presents to a non-PCI hospital 2 hours after symptom onset. Transfer time to PCI-capable center is estimated at 150 ...

Question

A 70-year-old with anterior STEMI presents to a non-PCI hospital 2 hours after symptom onset. Transfer time to PCI-capable center is estimated at 150 minutes. What is the recommended reperfusion strategy?

Accepted Answer

No reperfusion; begin antithrombotics and observe

Answer

Transfer for primary PCI despite the delay

Answer

Immediate fibrinolysis, then transfer for angiography (pharmaco-invasive strategy)

Answer

Immediate coronary bypass surgery

Answer

Begin tirofiban infusion while arranging delayed PCI

us-abem MCQ (SBA): ST-elevation MI

A 70-year-old with anterior STEMI presents to a non-PCI hospital 2 hours after symptom onset. Transfer time to PCI-capable center is estimated at 150 minutes. What is the recommended reperfusion strategy?