A 58-year-old man presents to the emergency department with 90 minutes of central crushing chest pain radiating to his left arm. An ECG shows ST eleva...

Question

A 58-year-old man presents to the emergency department with 90 minutes of central crushing chest pain radiating to his left arm. An ECG shows ST elevation in leads V2–V5. A nearby cardiac centre can perform coronary angiography within 90 minutes. What is the most appropriate reperfusion strategy?

Accepted Answer

Immediate primary percutaneous coronary intervention (PCI)

Answer

Immediate thrombolysis with Alteplase

Answer

Subcutaneous low molecular weight heparin only

Answer

High-dose beta-blocker and admit to coronary care unit

Answer

Urgent coronary artery bypass grafting

uk-plab-1 MCQ (SBA): ST-elevation myocardial infarction

A 58-year-old man presents to the emergency department with 90 minutes of central crushing chest pain radiating to his left arm. An ECG shows ST elevation in leads V2–V5. A nearby cardiac centre can perform coronary angiography within 90 minutes. What is the most appropriate reperfusion strategy?