Which of the following patients would be a candidate for fibrinolytic therapy? (Select all that apply.)
a. The patient chest pain started 8 hours ago. She has a diagnosis of NSTEMI.
b. The patient chest pain started 3 hours ago, and her ECG shows a new left bundle branch block.
c. The patient presents to the emergency department with chest pain of 30 minutes' duration. She has a history of cerebrovascular accident 1 month ago.
d. The patient has a history of unstable angina. He has been experiencing chest pain with sudden onset.
e. The patient chest pain started 1 hour ago, and his ECG shows ST elevation.
B, E
Eligibility criteria for administering fibrinolytics include chest pain of less than 12 hours' duration and persistent ST elevation. Exclusion criteria include recent surgery, cerebrovascular accident, and trauma.
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