Question

A 59-year-old with known coronary disease has chest pain at rest and ST elevation in II, III, aVF. EMS arrival 60 minutes after onset. PCI-capable hospital 20 minutes away. Best strategy?

Accepted Answer

Primary PCI within 120 minutes

Answer

Immediate fibrinolysis

Answer

Stress test then cath

Answer

Give heparin only and observe

Answer

Wait for full lab panel

Practice question

A 59-year-old with known coronary disease has chest pain at rest and ST elevation in II, III, aVF. EMS arrival 60 minutes after onset. PCI-capable hospital 20 minutes away. Best strategy?