Learn more about the challenging decision of prioritizing heart or brain intervention in this case of an 84-year-old male with a history of high blood pressure and stable angina. Transferred from another hospital for sudden altered mental status with right hemiparesis while awaiting chest pain evaluation, his complex medical history includes a prior anterior wall STEMI diagnosed 3 years ago. With an NIHSS of 19, the clinical course involved addressing a LAD insult, cardiogenic shock and deciding on primary PCI for LAD first. Watch the video to know more!