In the case of a CVA, which situation is NOT a contraindication for thrombolytic therapy?

In the context of thrombolytic therapy for a cerebrovascular accident (CVA), the option that indicates a scenario where thrombolytic therapy is not contraindicated is characterized by minor symptoms that are rapidly improving.

This situation suggests that the patient's condition is not severely impairing function and could be indicative of a transient ischemic attack (TIA) rather than a full-blown stroke. When symptoms are mild and showing signs of improvement, this indicates a lower level of urgency for intervention, and patients in this category may not meet the criteria for thrombolytic therapy, primarily because they are not exhibiting a major stroke requiring such intervention.

Other options present serious medical conditions or histories that would indeed place a patient at greater risk if thrombolytic therapy were administered. History of intracranial hemorrhage, severe headache with loss of consciousness, and major surgery within the last two weeks are all significant risk factors that could lead to dangerous complications, such as further bleeding or adverse reactions. This is why the scenario depicting minor and rapidly improving symptoms is not linked to contraindications for thrombolytic therapy.