2 Hours Of Sudden in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#16838
SMLE Question #16838
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 60-year-old man with long-standing hypertension presents with 2 hours of sudden severe retrosternal pressure radiating to the left arm, with dyspnea and palpitations. He had a non-hemorrhagic ischemic stroke 2 months ago and is not taking antiplatelet therapy. ECG shows ST-segment elevation in leads II, III, and aVF. A catheterization laboratory is available to provide immediate coronary angiography with reperfusion within 60 minutes. What is the most appropriate reperfusion strategy now?
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