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ModerateCardiovascularST elevation myocardial infarctionuk-plab-1

A 58 year old man presents to the emergency department 90 minutes after the onset of central crushing chest pain radiating to his left arm. His ECG shows 3 mm ST elevation in leads V2–V4 with reciprocal ST depression in the inferior leads. He has no contraindications to anticoagulation or thrombolysis. A 24 hour catheter laboratory is on site and can accept him immediately. What is the most appropriate next step in management?

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