2 Hours Of Sudden in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#17094

SMLE Question #17094

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 60-year-old man presents to the emergency department with 2 hours of sudden, severe central chest pain. He has hypertension and had a non-hemorrhagic ischemic stroke 2 months ago. ECG shows ST-segment elevation in leads II, III, and aVF. The hospital can perform catheter-based coronary reperfusion within 60 minutes of first medical contact. What is the most appropriate reperfusion strategy now?

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