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Question preview · Concorso SSM

Un uomo di 62 anni si presenta al pronto soccorso con dolore toracico retrosternale oppressivo da 45 minuti, irradiato al braccio sinistro. L'ECG mostra sopraslivellamento del tratto ST in V1-V4 con immagini speculari in D2, D3, aVF. Troponina I: 5,2 ng/mL (v.n. <0,04). Quale è l'intervento prioritario?

  1. A. Cardioversione elettrica sincronizzata
  2. B. Angioplastica coronarica percutanea primaria (PCI) entro 120 minuti
  3. C. Trombolisi con tenecteplase
  4. D. Bypass aortocoronarico d'urgenza
  5. E. Somministrazione di eparina a basso peso molecolare e monitoraggio

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