2 Hours Of Severe in Medicine / Internal Medicine — 64yo Man | Cardiology | SMLE Q#1232

SMLE Question #1232

Medicine / Internal Medicine Cardiology
Last updated: February 2026
A 64-year-old man presents to the emergency department with 2 hours of severe central chest pain radiating to the left arm, with diaphoresis and nausea. He had an ischemic stroke 2 months ago with mild residual right-sided weakness. ECG shows ST-segment elevation in the anterior leads, and a catheterisation laboratory is immediately available. What is the most appropriate next step in management?

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