ACS w/ ST elevation: Treatment

- Stabilse patient : MONA - if <120 mins: Primary PCI strategy + Re-perfusion - if >120 mins: Fibrinolytic therapy for re-perfusions ( bolus of fibrinolytic eg Tenecteplase, alteplase, reteplase, streptokinase ) then either Routine or Rescue PI & Re-perfusion - Long term : B-blockers/ ACEI (if patient w/ HF, LV dysfunction or DM) & Statins- should be continued indefinitely