A 58-year-old man presents with 45 minutes of central chest pain radiating to his left arm. ECG shows 2 mm ST elevation in V2-V4. Which intervention s...

Question

A 58-year-old man presents with 45 minutes of central chest pain radiating to his left arm. ECG shows 2 mm ST elevation in V2-V4. Which intervention should be given immediately in the emergency department, provided there is no contraindication?

Accepted Answer

Oral acetylsalicylic acid 160-325 mg chewed

Answer

High-dose intravenous morphine as first-line analgesia without antiplatelets

Answer

Routine thrombolysis with tenecteplase without reperfusion planning

Answer

Immediate intravenous unfractionated heparin bolus only

Answer

Primary PCI deferred for 24 hours if pain settles

ca-mccqe1 MCQ (SBA): STEMI initial management

A 58-year-old man presents with 45 minutes of central chest pain radiating to his left arm. ECG shows 2 mm ST elevation in V2-V4. Which intervention should be given immediately in the emergency department, provided there is no contraindication?