Cert Cardiology(SA) Phys Practice Questions - Sub-specialty Certificate In Cardiology Of The College Of Physicians Of South Africa Exam

Access More Questions

A 54-year-old male presents to a rural district hospital in the Eastern Cape 90 minutes after the onset of severe substernal chest pain. His ECG shows 4 mm ST-segment elevation in leads V1-V4 with reciprocal ST depression in II, III, and aVF. Transfer time to the nearest PCI-capable hospital is estimated at 3.5 hours. He has no contraindications to fibrinolysis. According to ESC and SA Heart guidelines, what is the most appropriate initial reperfusion strategy?

Conservative medical management with dual antiplatelet therapy and statin, reserving angiography for recurrent ischemia Immediate transfer for primary PCI without administering fibrinolytic therapy Immediate administration of a weight-adjusted bolus of tenecteplase (fibrinolysis) followed by urgent transfer for pharmacoinvasive PCI Administration of unfractionated heparin and clopidogrel, delaying reperfusion until transfer to the tertiary center

Correct Answer:

Immediate administration of a weight-adjusted bolus of tenecteplase (fibrinolysis) followed by urgent transfer for pharmacoinvasive PCI

Access more questions from this quiz

Continue to Cert Cardiology(SA) Phys Practice Questions - Sub-specialty Certificate in Cardiology of the College of Physicians of South Africa Exam for more practice questions and the full quiz experience.

Access More Questions