A 59-year-old man has an inferior STEMI with ST elevation in V4R. BP is 82/56 mmHg, jugular venous pressure is raised and the lungs are clear. He has

Question

A 59-year-old man has an inferior STEMI with ST elevation in V4R. BP is 82/56 mmHg, jugular venous pressure is raised and the lungs are clear. He has taken aspirin and the catheter laboratory is ready. Which immediate haemodynamic strategy is most appropriate while arranging primary PCI?

Accepted Answer

Give cautious fluid while preparing for primary intervention

Answer

Give intravenous furosemide while preparing for primary intervention

Answer

Use emergency fibrinolysis because hypotension accompanies the infarct

Answer

Give intravenous nitrate while preparing for primary intervention

Answer

Start an inotrope without first assessing preload responsiveness

Inferior ST-elevation myocardial infarction — SCE Acute Medicine MCQ

A 59-year-old man has an inferior STEMI with ST elevation in V4R. BP is 82/56 mmHg, jugular venous pressure is raised and the lungs are clear. He has taken aspirin and the catheter laboratory is ready. Which immediate haemodynamic strategy is most appropriate while arranging primary PCI?