Based on initial Electrocardiogram (ECG) and clinical presentation, Joan is diagnosed with an anterior ST Elevation Myocardial Infarction (STEMI). Her case is discussed with an interventional cardiologist who feels that the time delay involved in her transfer to the interventional centre is too long for primary angioplasty. He recommends that she receives thrombolysis if there are no contraindications and transfer for assessment for Percutaneous Coronary Intervention (PCI) thereafter.
Pulse point
When primary PCI cannot be provided within 120 minutes of ECG diagnosis, patients with an ST elevation acute coronary syndrome should receive immediate thrombolytic therapy.
Page last reviewed: 10 Jun 2020
