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MediumCardiologyST-elevation myocardial infarctionca-mccqe1ca-rcpsc-emca-rcpsc-im

A 59-year-old man with an anterior ST-elevation myocardial infarction (STEMI) presents to a rural hospital without percutaneous coronary intervention (PCI) capability 60 minutes after symptom onset. The nearest PCI centre is 3 hours away by ground transport. According to Canadian STEMI guidelines, what is the most appropriate reperfusion strategy?

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