Medical Licensing Practice Test & Exam Prep | United Kingdom

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A 64-year-old man presents with central crushing chest pain radiating to his left arm for the past hour. ECG shows ST elevation in leads II, III and aVF. He has no contraindications to reperfusion and is 30 minutes from a primary PCI centre. What is the most appropriate immediate management?

Refer for primary percutaneous coronary intervention Give thrombolysis with alteplase Start a heparin infusion and admit for observation Arrange an urgent outpatient exercise tolerance test

Correct Answer:

Refer for primary percutaneous coronary intervention

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