Ver el código de «Thrombolytics»

==Thrombolytics in [[STEMI]]==
{{Thrombolytics STEMI}}

===Indications and Contraindications===<ref>Rivera-Bou WL et al. Thrombolytic therapy for acute myocardial infarction. Dec 08, 2015. http://emedicine.medscape.com/article/811234-overview#a3.</ref>
*Indications<ref>ACLS Training Center. Fibrinolytic Checklist for STEMI. https://www.acls.net/images/algo-fibrinolytic.pdf</ref>
**Chest pain > 30 min but less than 12 hrs, not relieved by NTG
**PCI greater than 90 min away
**EKG criteria of STEMI
***STE in 2 contiguous leads
***Posterior STEMI
***LBBB with Sgarbossa criteria
*Absolute contraindications
**Prior ICH
**Known cerebral vascular lesion, AVM
**Known intracranial malignancy, primary or mets
**Ischemic stroke within 3 months, but '''NOT''' ischemic stroke within 3 hrs
**Suspected aortic dissection
**Active bleeding or bleeding diathesis, excluding menses
**Significant closed head/facial trauma within 3 months
*Relative contraindications
**Hx of chronic, severe HTN
**SBP > 180 or DBP > 110 mmHg
**Hx of prior ischemic stroke > 3 months, dementia, or other known intracranial pathology not in absolute contraindications
**Traumatic CPR or CPR > 10 min
**Major surgery within 3 wks
**Internal bleeding within 2-4 wks
**Noncompressible vascular punctures
**Prior allergic reactions to fibrinolytics
**Pregnancy
**Active PUD
**Use of anticoagulants

==[[Thrombolysis in Acute Ischemic Stroke (tPA)]]==
{{TPA Stroke}}

==See Also==
*[[Ischemic stroke]]
*[[STEMI]]

[[Category:Cards]][[Category:Neuro]]