RCPSC Internal Medicine Practice Questions - Royal College Certification Examination In Internal Medicine Exam

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A 62-year-old man presents with 40 minutes of crushing chest pain. ECG shows 2 mm ST elevation in leads II, III and aVF. He is at a centre with a cath lab able to perform primary PCI within 60 minutes. What is the most appropriate reperfusion strategy?

Fibrinolysis with tenecteplase Primary percutaneous coronary intervention Urgent coronary artery bypass grafting Heparin infusion and delayed angiography in 24 hours

Correct Answer:

Primary percutaneous coronary intervention

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