Question 246 · LEK · Acute coronary syndromes
A 72-year-old man has been taken to the emergency unit because of a severe retrosternal pain lasting for 40 minutes. Anterior ST elevation myocardial infarction is recognized. What is the most preferred method of treatment in this patient?
- A. oral administration of nitroglycerine.
- B. intravenous administration of nitroglycerine.
- C. fibrinolytic treatment with streptokinase.
- D. fibrinolytic treatment with tissue plasminogen activator.
- E. percutaneous coronary intervention as soon as possible.
Hint
In the first hours of STEMI the preferred reperfusion strategy is mechanical, provided it can be delivered promptly.
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