A. Aspirin + ticagrelor + immediate percutaneous coronary intervention

B. Aspirin + clopidogrel + immediate percutaneous coronary intervention

C. Aspirin + prasugrel + immediate percutaneous coronary intervention

D. Clopidogrel + LMWH + alteplase

E. Aspirin + clopidogrel + LMWH + repeat ECG in 20 minutes

This is a question based on the updated guideline. Try to answer this question in 50 seconds. Comment your answer below. The answer to this question is given below.

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The correct answer is C

Primary percutaneous coronary intervention is the gold-standard treatment for ST-elevation myocardial infarction.

• As per NICE 2020 guideline:

  • PCI + anticoagulant = Clopidogrel + Aspirin

  • PCI and NO anticoagulant = Prasugrel + Aspirin

  • NO PCI = Ticagrelor + Aspirin

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