A 62-year-old with crushing chest pain and anterior ST-segment elevations arrives by EMS 30 minutes after symptom onset. Before reperfusion therapy, w...

Question

A 62-year-old with crushing chest pain and anterior ST-segment elevations arrives by EMS 30 minutes after symptom onset. Before reperfusion therapy, which immediate antiplatelet action is recommended in the ED?

Accepted Answer

Chew and swallow 162-325 mg of aspirin immediately

Answer

Administer IV abciximab before ECG confirmation

Answer

Start clopidogrel 75 mg daily without loading dose

Answer

Delay antiplatelet therapy until coronary anatomy is known

Answer

Give enteric-coated aspirin 81 mg to reduce GI irritation

us-abim MCQ (SBA): STEMI

A 62-year-old with crushing chest pain and anterior ST-segment elevations arrives by EMS 30 minutes after symptom onset. Before reperfusion therapy, which immediate antiplatelet action is recommended in the ED?