A 56-year-old with large anterior STEMI at a non-PCI hospital presents at 45 minutes from symptom onset. PCI-capable center is 2.5 hours away. Best im...

Question

A 56-year-old with large anterior STEMI at a non-PCI hospital presents at 45 minutes from symptom onset. PCI-capable center is 2.5 hours away. Best immediate reperfusion strategy?

Accepted Answer

Immediate fibrinolysis if anticipated FMC-to-device time exceeds 120 minutes

Answer

Transfer anyway without fibrinolysis

Answer

No reperfusion if pain improves

Answer

Begin heparin only

Answer

Wait for troponin rise before therapy

us-abem MCQ (SBA): STEMI Reperfusion Strategy (Non-PCI Site)

A 56-year-old with large anterior STEMI at a non-PCI hospital presents at 45 minutes from symptom onset. PCI-capable center is 2.5 hours away. Best immediate reperfusion strategy?