A 64-year-old man presents to a regional emergency department with 90 minutes of central chest pain, sweating and nausea. ECG shows 3 mm ST elevation ...

Question

A 64-year-old man presents to a regional emergency department with 90 minutes of central chest pain, sweating and nausea. ECG shows 3 mm ST elevation in leads V2-V4 with reciprocal ST depression in inferior leads. Blood pressure is 130/80 mmHg and oxygen saturation 97% on room air. What is the single most important immediate pharmacological intervention?

Accepted Answer

Give 300 mg aspirin chewed

Answer

Administer sublingual glyceryl trinitrate

Answer

Commence intravenous heparin infusion

Answer

Give 300 mg clopidogrel

Answer

Administer 1 mg intravenous adrenaline

au-amc MCQ (SBA): ST-elevation myocardial infarction