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Ischemic stroke within three months is mentioned in both absolute and relative contraindications to fibrinolytic therapy in case of STEMI.

Is it absolute of relative contraindication?:confused:
 

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That's a typo error in Kaplan notes, here's the correct list

Absolute contraindications
  • Prior intracranial hemorrhage (ICH)
  • Known structural cerebral vascular lesion
  • Known malignant intracranial neoplasm
  • Ischemic stroke within 3 months
  • Suspected aortic dissection
  • Active bleeding or bleeding diathesis (excluding menses)
  • Significant closed-head trauma or facial trauma within 3 months
Relative contraindications

  • History of chronic, severe, poorly controlled hypertension
  • Severe uncontrolled hypertension on presentation (SBP >180 mm Hg or DBP >110 mm Hg)
  • Traumatic or prolonged (>10 min) CPR or major surgery less than 3 weeks
  • Recent (within 2-4 wk) internal bleeding
  • Noncompressible vascular punctures
  • For streptokinase/anistreplase - Prior exposure (more than 5 d ago) or prior allergic reaction to these agents
  • Pregnancy
  • Active peptic ulcer
  • Current use of anticoagulant (eg, warfarin sodium) that has produced an elevated international normalized ratio (INR) >1.7 or prothrombin time (PT) >15 seconds
Reference:
[Guideline] 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 8: Stabilization of the Patient with Acute Coronary Syndromes. Circulation. Dec 13 2005;112(Suppl IV):IV-89-IV-110. [Full Text].
 
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