Question

A 64-year-old man reports central crushing chest pain for 90 minutes associated with diaphoresis. ECG shows ST-segment elevation in leads II, III and aVF. He arrives at a hospital with 24-hour primary PCI service and no contraindications to reperfusion. What is the preferred reperfusion strategy?

Accepted Answer

Immediate primary percutaneous coronary intervention

Answer

Immediate thrombolysis with Alteplase

Answer

Coronary artery bypass graft surgery within 24 hours

Answer

No reperfusion as pain has lasted more than 60 minutes

Answer

Medical therapy only with Aspirin and beta-blockers

Practice question

A 64-year-old man reports central crushing chest pain for 90 minutes associated with diaphoresis. ECG shows ST-segment elevation in leads II, III and aVF. He arrives at a hospital with 24-hour primary PCI service and no contraindications to reperfusion. What is the preferred reperfusion strategy?