24th April 2024

A 75-year-old lady is brought to the emergency department by her son with chest pain and nausea.

A 75-year-old lady is brought to the emergency department by her son with chest pain and nausea. The pain began overnight when she woke to use the bathroom but she waited for her son to visit in the morning before telling him. He drove her to hospital straight away and her initial ECG shows ST-segment elevation in the anterior leads. The nearest PCI centre is 140 minutes away by ambulance transfer.  What is the recommended time in which fibrinolysis may be given? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.