Physician Assistant National Certifying Exam (PANCE)

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A 58-year-old male presents with crushing chest pain radiating to his left arm and jaw. The pain started 45 minutes ago while he was at rest. He is diaphoretic and nauseated. ECG shows ST elevation in leads V1-V4. Which of the following is the most appropriate immediate management?

Aspirin and nitroglycerin only Emergency cardiac catheterization within 90 minutes Heparin drip and observation Cardiac stress test the next day

Correct Answer:

Emergency cardiac catheterization within 90 minutes

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