Inferior STEMI with right ventricular involvement — DipIMC MCQ
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Correct answer: C — Give aspirin and pre-alert PPCI, avoiding nitrates
Right ventricular infarction with hypotension and recent sildenafil makes nitrates hazardous. Aspirin, analgesia, ECG transmission/pre-alert and PPCI pathway are appropriate. Bradycardia does not make the presentation benign in an inferior STEMI.
Reference: JRCALC Guidelines; NICE acute coronary syndrome guidance