In the setting of STEMI identified on initial evaluation, what is the immediate action?

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Multiple Choice

In the setting of STEMI identified on initial evaluation, what is the immediate action?

STEMI represents an acute coronary artery occlusion requiring immediate restoration of blood flow. The priority is to activate the cath lab and initiate reperfusion therapy per protocol right away, so PCI is pursued if available or fibrinolysis used if PCI cannot be performed promptly. This approach minimizes myocardial damage and improves survival, because delays in revascularization translate directly into larger infarcts and worse outcomes. Waiting for troponin results or observing without reperfusion would miss the time-sensitive window and can be fatal. Reassurance and discharge are inappropriate in the face of an acute STEMI.

STEMI represents an acute coronary artery occlusion requiring immediate restoration of blood flow. The priority is to activate the cath lab and initiate reperfusion therapy per protocol right away, so PCI is pursued if available or fibrinolysis used if PCI cannot be performed promptly. This approach minimizes myocardial damage and improves survival, because delays in revascularization translate directly into larger infarcts and worse outcomes. Waiting for troponin results or observing without reperfusion would miss the time-sensitive window and can be fatal. Reassurance and discharge are inappropriate in the face of an acute STEMI.

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