Armenia Healthcare Licensing Exam Practice Questions - Centralized Examination For Individual And Transitional Individual Licenses Of Senior Healthcare Workers (Armenia) Exam

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A 58-year-old man with hypertension and hyperlipidemia presents with 90 minutes of severe crushing retrosternal chest pain radiating to his left shoulder and jaw, accompanied by diaphoresis. An immediate 12-lead ECG demonstrates 3 mm ST-segment elevation in leads V1 through V4. The nearest percutaneous coronary intervention (PCI)-capable medical center is 25 minutes away. What is the most appropriate reperfusion strategy?

Administer intravenous unfractionated heparin and monitor cardiac troponins without reperfusion Transfer immediately for primary percutaneous coronary intervention within the recommended reperfusion window Administer fibrinolytic therapy and defer angiography for 48 hours despite timely PCI access Perform computed tomography coronary angiography before antiplatelet therapy

Correct Answer:

Transfer immediately for primary percutaneous coronary intervention within the recommended reperfusion window

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