Question

A 58-year-old man presents to an urban emergency department with 60 minutes of central chest pain and an ECG showing ST elevation in the anterior leads. A PCI-capable cath lab is on-site and can be activated within 30 minutes. According to ACS guidelines, what is the preferred reperfusion strategy?

Accepted Answer

Immediate primary PCI with aspirin and other guideline-directed adjuncts

Answer

Immediate thrombolysis with tenecteplase in the emergency department

Answer

Aspirin alone and observation to see if pain resolves

Answer

Delayed angiography after 24 hours of medical therapy

Answer

Thrombolysis followed by elective PCI in 1 week

Practice question

A 58-year-old man presents to an urban emergency department with 60 minutes of central chest pain and an ECG showing ST elevation in the anterior leads. A PCI-capable cath lab is on-site and can be activated within 30 minutes. According to ACS guidelines, what is the preferred reperfusion strategy?