A 61-year-old man is admitted with central crushing chest pain to the Emergency Department.. Aspirin + clopidogrel + IV heparin + immediate percutaneous coronary intervention

A 61-year-old man is admitted with central crushing chest pain to the Emergency Department. An ECG taken immediately on arrival shows ST-elevation in leads II, III and aVF. His only past medical history of note is hypertension for which he takes ramipril, aspirin and simvastatin.
What is the optimum management of this patient?
(LMWH = low-molecular weight heparin)
A.A Aspirin + clopidogrel + LMWH + repeat ECG in 20 minutesia
B.A Clopidogrel + LMWH + alteplaseia
C.A Aspirin + clopidogrel + LMWH + tenecteplaseia
D.A Aspirin + clopidogrel + LMWH + alteplaseia

E.A Aspirin + clopidogrel + IV heparin + immediate percutaneous coronary intervention***
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