Cardiovascular

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?

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 and a 30 pack-year smoking history wants to quit. The most appropriate evidence-based pharmacotherapy for smoking cessation is: