The initial management of acute ST-elevation myocardial infarction (STEMI) includes:

✓ Correct Answer: Option B

STEMI: door-to-balloon <90 min (PCI) or door-to-needle <30 min (fibrinolytics). Dual antiplatelet therapy (aspirin + P2Y12 inhibitor), heparin, nitrates, beta-blocker, statin.