A 70-year-old man with a history of type 2 diabetes and hypertension presents to the emergency department with chest pain for 2 hours. | Medibuddy
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2nd May 2024

A 70-year-old man with a history of type 2 diabetes and hypertension presents to the emergency department with chest pain for 2 hours.

A 70-year-old man with a history of type 2 diabetes and hypertension presents to the emergency department with chest pain for 2 hours. His ECG shows ST elevation in the anterior leads. He is diagnosed with an ST-elevation myocardial infarction (STEMI). The nearest PCI-capable hospital is 3 hours away. The patient has no contraindications to fibrinolysis. What is the most appropriate initial management?

 

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