4 Hours Of Central in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#1037
SMLE Question #1037
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 60-year-old man presents with 4 hours of central crushing chest pain radiating to the left arm with diaphoresis. ECG shows ST-segment elevation in V1–V4. He has no contraindications to antithrombotic or reperfusion therapy. The hospital has a 24/7 cardiac catheterization laboratory with an interventional team available. In the ED, he receives chewable aspirin, sublingual nitroglycerin, IV analgesia, and IV unfractionated heparin. What is the most appropriate next step in management?
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