ABIM Internal Medicine Practice Questions - American Board Of Internal Medicine Initial Certification (Internal Medicine) Exam

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A 58-year-old man with diabetes presents with 2 hours of crushing substernal chest pain. ECG shows 3 mm ST elevation in V2–V4. Door-to-balloon time at the PCI-capable hospital is expected to be within 60 minutes. What is the recommended reperfusion strategy?

Primary percutaneous coronary intervention Fibrinolytic therapy with tenecteplase Medical therapy alone with aspirin and heparin Delayed angiography in 24 hours

Correct Answer:

Primary percutaneous coronary intervention

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