A 59-year-old man has 45 minutes of crushing substernal chest pressure radiating to the left arm. He is diaphoretic. Blood pressure is 142/86 mm Hg.

Question

A 59-year-old man has 45 minutes of crushing substernal chest pressure radiating to the left arm. He is diaphoretic. Blood pressure is 142/86 mm Hg. ECG shows 3-mm ST elevation in leads II, III, and aVF. Which of the following is the most appropriate next step in management?

Accepted Answer

Give aspirin and activate emergent reperfusion

Answer

Schedule outpatient stress testing

Answer

Start antibiotics for pericarditis

Answer

Treat with antacids and discharge

Answer

Order routine echocardiography next month

STEMI — USMLE Step 3 MCQ

A 59-year-old man has 45 minutes of crushing substernal chest pressure radiating to the left arm. He is diaphoretic. Blood pressure is 142/86 mm Hg. ECG shows 3-mm ST elevation in leads II, III, and aVF. Which of the following is the most appropriate next step in management?