A 40 year old man is heavy smoker and have complaints of epigastric pain, since an hour. On electrocardiographic examination he is found to have ST elevations in inferior leads. What is the immediate therapy?
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Aspirin
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Thrombolytics
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Pantoprazole
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Beta-blockers
B
Correct answer
Explanation
This 40-year-old heavy smoker with epigastric pain and ST elevations in inferior leads is having an acute inferior STEMI (ST-elevation myocardial infarction). The IMMEDIATE therapy is thrombolytic agents (or primary PCI) to reperfuse the coronary artery and salvage myocardium. Aspirin is essential but adjunctive. Pantoprazole treats gastritis, not MI. Beta-blockers are secondary stabilisation, not immediate reperfusion therapy. Time is muscle - thrombolytics within the golden hour.