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ST-elevation myocardial infarction — RCPSC EM MCQ

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ModerateCardiovascular emergenciesST-elevation myocardial infarctionRCPSC EM

A 57-year-old with crushing chest pain has ST elevation in II, III and aVF. He is stable and the nearest PCI centre is 40 minutes away by transfer. What is the most appropriate disposition?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Immediate transfer to the PCI-capable centre after ED STEMI pathway activation

STEMI in a system with timely PCI access should be routed to reperfusion without delay, with transfer activation from the ED.

Reference: CCS acute coronary syndrome guidance; Canadian STEMI systems of care