Case challenge · Cardiology / Emergency · teaching

STEMI — Reperfusion Strategy Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on 2023 ESC ACS

Case #1Cardiology / Emergency

📋 Case data

STEMI confirmation & reperfusion decisionYes (symptoms <12 h)
Primary PCI achievable within 120 min?No (>120 min)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · STEMI confirmation & reperfusion decision

STEMI confirmed and symptoms <12 h?

💡 STEMI = ischemic symptoms + ECG ST-elevation (or new LBBB). Immediate supportive care (oxygen only if hypoxemic, nitrates, analgesia), dual antiplatelet therapy, anticoagulation, ECG monitoring with defibrillator ready; start the reperfusion decision on confirmation.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.