Question

A 58-year-old presents with chest pain for 60 minutes; ECG shows anterior STEMI. A PCI-capable hospital is available. What is the optimal reperfusion target?

Accepted Answer

Primary PCI with door-to-balloon time ≤90 minutes

Answer

Immediate fibrinolysis at the bedside

Answer

Primary PCI within 180 minutes

Answer

Fibrinolysis if symptoms <24 hours regardless of PCI availability

Answer

No reperfusion if pain has improved

Practice question

A 58-year-old presents with chest pain for 60 minutes; ECG shows anterior STEMI. A PCI-capable hospital is available. What is the optimal reperfusion target?