A 58-year-old male presents to the ED with 2 hours of crushing chest pain, diaphoresis, and EKG showing ST elevations in leads V2-V5. Aspirin and sublingual nitroglycerin have been administered. What is the most appropriate next step in management?

✓ Correct Answer: Option C

For ST-elevation myocardial infarction (STEMI), timely reperfusion is critical. After initial medical therapy (aspirin, nitrates), emergent PCI is the preferred strategy if available within recommended timeframes, as it directly re-establishes blood flow to the ischemic myocardium.