3 Hours Of Severe in Medicine / Internal Medicine — 62yo Woman | Cardiology | SMLE Q#18232
SMLE Question #18232
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 62-year-old woman with type 2 diabetes, hypertension, dyslipidemia, and ischemic stroke 1 month ago presents with 3 hours of severe central chest pain. She denies dyspnea or palpitations. Medications include insulin, lisinopril, metoprolol, atorvastatin, and aspirin. ECG shows ST-segment elevation in contiguous leads. She has received oxygen, morphine, and sublingual nitroglycerin. What is the most appropriate next step in management?
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