Question

A 58-year-old man presents to the emergency department with 60 minutes of central crushing chest pain radiating to his left arm, associated with sweating and nausea. He has a history of hypertension and type 2 diabetes. His ECG shows ST-segment elevation in leads II, III and aVF. What is the most appropriate immediate management?

Accepted Answer

Give Aspirin 300 mg and arrange immediate transfer for primary percutaneous coronary intervention

Answer

Give sublingual glyceryl trinitrate and discharge with GP follow-up

Answer

Arrange an outpatient exercise tolerance test and prescribe a statin

Answer

Start an intravenous heparin infusion and arrange elective angiography

Answer

Give oral morphine and observe in the emergency department for 12 hours

Practice question