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Multiple Choice

Which of the following is NOT listed as a contraindication to thrombolytic therapy in the source material?

Thrombolytic therapy is avoided when bleeding risk is unacceptably high. The strongest reasons to withhold therapy are situations that massively raise the chance of intracranial or systemic bleeding: active bleeding or a known bleeding diathesis (not counting menses), and a history of intracranial hemorrhage. Severe uncontrolled hypertension also raises the risk of hemorrhagic transformation and is a common absolute contraindication when blood pressure remains above the threshold. Mild, well-controlled hypertension, on the other hand, does not represent an absolute contraindication. Blood pressure can be managed to the target range before or during therapy, and such a level is not listed as a contraindication in the source material. So this option is the one that is NOT listed as a contraindication to thrombolytic therapy.

Thrombolytic therapy is avoided when bleeding risk is unacceptably high. The strongest reasons to withhold therapy are situations that massively raise the chance of intracranial or systemic bleeding: active bleeding or a known bleeding diathesis (not counting menses), and a history of intracranial hemorrhage. Severe uncontrolled hypertension also raises the risk of hemorrhagic transformation and is a common absolute contraindication when blood pressure remains above the threshold.

Mild, well-controlled hypertension, on the other hand, does not represent an absolute contraindication. Blood pressure can be managed to the target range before or during therapy, and such a level is not listed as a contraindication in the source material. So this option is the one that is NOT listed as a contraindication to thrombolytic therapy.