A 59-year-old man has 45 minutes of crushing substernal chest pain radiating to the left arm. ECG shows ST-segment elevations in leads II, III, and

Question

A 59-year-old man has 45 minutes of crushing substernal chest pain radiating to the left arm. ECG shows ST-segment elevations in leads II, III, and aVF. The hospital has immediate catheterization capability. Which of the following is the most appropriate next step in management?

Accepted Answer

Activate the catheterization laboratory for primary percutaneous coronary intervention

Answer

Order coronary calcium scoring

Answer

Schedule outpatient stress testing

Answer

Give thrombolysis after 24 hours of observation

Answer

Start proton pump inhibitor therapy and discharge

ST-elevation myocardial infarction — USMLE Step 3 MCQ

A 59-year-old man has 45 minutes of crushing substernal chest pain radiating to the left arm. ECG shows ST-segment elevations in leads II, III, and aVF. The hospital has immediate catheterization capability. Which of the following is the most appropriate next step in management?