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ModerateCardiovascularST-elevation myocardial infarctionuk-plab-1

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?

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