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Inside one explanation

Every question is built this way. Here is one, opened up.

The question

A 65-year-old woman presents to a regional emergency department with 3 hours of central chest heaviness, diaphoresis, and pain radiating into both shoulders. Her background includes hypertension, hyperlipidaemia, ischaemic heart disease, and type 2 diabetes. Observations show HR 55 bpm and BP 175/95 mmHg. Her ECG demonstrates ST-elevation myocardial infarction. The nearest PCI-capable centre is 90 minutes away by road. What is the most appropriate next step in management?

The options

  • A Administer tenecteplase
  • B Arrange immediate transfer to the PCI-capable centre · the key
  • C Commence an esmolol infusion followed by a vasodilator such as GTN
  • D Serially trend troponin, give aspirin, and admit for observation

Cited to local practice

ANZCOR Guidelines; LITFL – STEMI Reperfusion; ACC/AHA STEMI Guidelines

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