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Table 1-Contraindications to use heparin or thrombolytic agents in patients with pulmonary embolism
Clinical conditionStageHeparinThrombolytic agents

Nomcompressible

external bleeding

active

0-2 weeks

> 2 weeks

Absolute

Not contraindicated

Not contraindicated

Absolute

Relative

Not contraindicated

Internal bleeding

Active

0-2 weeks

> 2 weeks

Absolute

Relative

Not contraindicated

Absolute

Relative

Not contraindicated

Neurosurgery or

ocular surgery

0-2 weeks

2-6 weeks

> 6 weeks

Relative

Relative

Not contraindicated

Absolute

Relative

Not contraindicated

Solid organ

Biopsy

0-2 weeks

2-6 weeks

> 6 weeks

Relative

Not contraindicated

Not contraindicated

Absolute

Relative

Not contraindicated

Major trauma or

major surgery

0-2 weeks

>2 weeks

Not contraindicated

Not contraindicated

Relative

Not contraindicated

Pregnancy

Current

0-2 weeks

> 2 weeks

Not contraindicated

Not contraindicated

Not contraindicated

Relative(unknown)

Relative

Not contraindicated

Menstruation

Active

Not contraindicated

Not contraindicated

Gastrointestinal

bleeding

Active

0-2 weeks

> 2 weeks

Absolute

Relative

Not contraindicated

absolute

Relative

Not contraindicated

Uncontrolled hypertension

>180X110mmHg

Long standing

RelativeRelative

Hemorrhage from

diabetic retinopathy

0-3 days

3-7 days

1-2 weeks

> 2 weeks

Absolute

Relative

Relative

Not contraindicated

Absolute

Absolute

Absolute

Relative

Epistaxis

Active uncontrolled

Controled with posterior pack

0-2 weeks

> 2 weeks

Absolute

Relative

Relative

Not contraindicated

Absolute

Relative

Relative

Not contraindicated

Hemoptysis(trace)

0-2 weeks

> 2 weeks

Not contraindicated

Not contraindicated

Relative

Not contraindicated

Hemoptysis(significant)

0-2weeks

2-6 weeks

> 6 weeks

Relative

Not contraindicated

Not contraindicated

Absolute

Relative

Not contraindicated


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