STEMI — RACP Adult Medicine MCQ

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ModerateCardiologySTEMIRACP Adult Medicine

A 62-year-old man presents to the emergency department with acute chest pain. His ECG shows ST elevation in leads II, III, and aVF. He arrives at a PCI-capable centre. According to the 2025 Australian ACS guideline, what is the recommended door-to-balloon time for primary PCI?

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Correct answer: E — <60 minutes

The 2025 Australian ACS guideline (National Heart Foundation/CSANZ) recommends primary PCI within <60 minutes from first medical contact at PCI-capable centres and <90 minutes at non-PCI-capable centres. This represents a stronger emphasis on optimal timing compared to the previous 2016 guideline.

Reference: NHF/CSANZ – 2025 – Australian Clinical Guideline for Diagnosing and Managing ACS