Thrombolysis in Older Adults with STEMI

An 88-year-old man with diabetes mellitus and hypertension presents with an ST elevation myocardial infarction (STEMI) to a rural community hospital. He presents within one hour of symptom onset. There is no percutaneous coronary intervention (PCI) capable center able to initiate primary invasive reperfusion within guideline based recommendations. There are no contraindications to fibrinolysis reperfusion.

Which of the following is the best treatment option for this patient?

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