Cardiovascular

A 55-year-old man with STEMI presents to a regional hospital where the nearest PCI centre is 90 minutes away by road. Per the Australasian (ANZCOR) STEMI guidelines, the most appropriate decision is:

A 70-year-old woman with stable new-onset AF of more than 48 hours is being considered for elective cardioversion. Per Heart Foundation/CSANZ guidance, the appropriate anticoagulation strategy is:

A 65-year-old diabetic man with multivessel disease and a high SYNTAX score (35) is considered for revascularisation. Per FREEDOM and SYNTAX, the most appropriate strategy is:

A 70-year-old man with permanent AF and an uncontrolled rapid ventricular response despite maximal rate-control drugs has progressive heart failure (LVEF 30%). The most appropriate option to control his rate is:

A 60-year-old man with acute decompensated heart failure has BP fall to 90/55 with a rising lactate and falling urine output after diuresis. The most appropriate action is:

A 50-year-old smoker with established CAD wants to quit. The most appropriate evidence-based pharmacotherapy for smoking cessation is: