Mx of acute STEMI

Question 1

What is the gold standard treatment?

Answer 1

Primary percutaneous coronary intervention (PCI

Question 2

Mx if < 120 minutes of onset

Answer 2

1. Commence PCI

Question 3

What should be given prior to PCI?

Answer 3

1. Two antiplatelet agents – Clopidogrel and Asprin

2. Anticoagulation – Heparin

Question 4

Mx if >120 minutes of onset

Answer 4

1. Fibrinolysis

2. PCI within 6 - 24 hours