What is the target reperfusion timeframe for STEMI management when PCI is available?

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Multiple Choice

What is the target reperfusion timeframe for STEMI management when PCI is available?

Explanation:
In STEMI, time to reperfusion is everything because heart muscle dies with delay. If PCI can be done promptly at a capable center, aim to restore flow with PCI within 90 minutes of first medical contact. If PCI isn’t readily available, initiate fibrinolysis within 120 minutes of first medical contact to reopen the artery pharmacologically. First medical contact means the moment EMS or the first clinician sees the patient, not just hospital arrival. The other options don’t align with this guideline because they set shorter or single-path targets that don’t reflect the recommended dual approach based on the availability of PCI.

In STEMI, time to reperfusion is everything because heart muscle dies with delay. If PCI can be done promptly at a capable center, aim to restore flow with PCI within 90 minutes of first medical contact. If PCI isn’t readily available, initiate fibrinolysis within 120 minutes of first medical contact to reopen the artery pharmacologically. First medical contact means the moment EMS or the first clinician sees the patient, not just hospital arrival. The other options don’t align with this guideline because they set shorter or single-path targets that don’t reflect the recommended dual approach based on the availability of PCI.

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