2 Hours Of Severe in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#12040
SMLE Question #12040
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 60-year-old man presents with 2 hours of severe retrosternal chest pain radiating to the left arm with dyspnea and palpitations. He has long-standing hypertension and had an ischemic stroke 2 months ago with mild residual right-sided weakness. He is not taking antiplatelet or anticoagulant therapy. ECG shows ST-segment elevation in leads II, III, and aVF. Non-contrast CT brain shows no intracranial hemorrhage. What is the most appropriate reperfusion strategy?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.