ABPS Hospital Medicine Practice Questions - ABPS Hospital Medicine Certification Examination Exam

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A 58-year-old man presents with crushing chest pain. ECG shows 3-mm ST elevation in leads II, III, aVF. Troponin is pending. Door-to-balloon capable PCI center is 30 minutes away. What is the most appropriate management?

Administer tenecteplase and transfer after 24 hours Aspirin 325 mg, heparin, and transfer for primary PCI with goal device time ≤120 minutes Obtain stress echocardiogram before intervention CT coronary angiography first

Correct Answer:

Aspirin 325 mg, heparin, and transfer for primary PCI with goal device time ≤120 minutes

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