The patient has an anterior ST-elevation myocardial infarction (STEMI) and is transported to the emergency department. You are evaluating him to determine whether to administer fibrinolytics. The following conditions are a strict no-no for this therapy:
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A
Symptoms began 36 hours before arrival.
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B
The patient has received aspirin in the last 2 hours.
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C
The patient had a previous MI 6 years ago.
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D
The patient's pain is not relieved by medications.