A 48-year-old family physician working in a remote northern community must stabilise a patient with suspected ST-elevation myocardial infarction. The ...

Question

A 48-year-old family physician working in a remote northern community must stabilise a patient with suspected ST-elevation myocardial infarction. The nearest PCI-capable centre is more than four hours away by air. According to CCS STEMI guidance, what is the most appropriate reperfusion strategy?

Accepted Answer

Administer fibrinolytic therapy as soon as possible and arrange transfer after

Answer

No reperfusion therapy; wait for PCI

Answer

Arrange transfer first and give fibrinolytics only if transport is delayed beyond 24 hours

Answer

Use dual antiplatelet therapy only without reperfusion

Answer

Give heparin alone and await PCI

ca-mccqe1 MCQ (SBA): ST-elevation myocardial infarction in rural setting

A 48-year-old family physician working in a remote northern community must stabilise a patient with suspected ST-elevation myocardial infarction. The nearest PCI-capable centre is more than four hours away by air. According to CCS STEMI guidance, what is the most appropriate reperfusion strategy?