Grosmont Hospital Cardiovascular Institute: Thrombolitic Inclusion and Exclusion Criteria.

Guidelines, not standards of care.

Inclusion Criteria:

• Pain < 12 hours.
• Pain > 30 minutes and unresponsive to NTG.
• EKG evident of Myocardial Infarction (0.1 mv ST segment elevation 0.08 seconds after the J point in two inferior leads, two contiguous lead, or leads I and AVL).

Absolute exclusion Criterior:

• Known active bleeding sites of disorders: GI including ulcerative colitis, diverticulitis, esophageal varicies; GU:; coagulation disorders with bleeding diastheses.
• Recent surgery: With ten days including invasive biopsies or non-compressible arterial punctures.
• Prolonged CPR: > 5 minutes within two weeks.
• CVA's: Any CVA or TIA; known cerebral neoplasm: recent sever headachs.
• Trauma: Significant within three months
• Hyperetnsion: Previously uncontrolled (DBP > 110 mmHg on sevreal measurements) or currently elevated (SBP > 180 mmHg, or DBP > 110 mmHg at presentation).

Relative Exclusion Criteria:

• Cardiac Diseases: Recent pericarditis, known aortic anurysm (recent SBE, mitral valve disease with a-fib, posthetic heart valve,dilated cardiomyopathy, permenent pacemaker, CABG, LBBB).
• Woman of child bearing potential: pregant, 10 days post partum
• Other medical disorders: Diabetic retinopathy (cavitating lung disease, acute visual disorders, cancer, or other advanced illnessnes).
• Potential allergic recations: Severs stretococcal infection of STK and Eminase infusion within one year (not a concern for rt-PA therapy)

• CPR . one minute within two weeks

to S. D. Paramedic 12 Lead E.C.G.

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