Thrombolytic therapy.

If the electrocardiogram is diagnostic of acute myocardial infarction (AMI) in the patient complaining of typical chest pain, then indications and contraindications for thrombolytic therapy must be assessed immediately. The goal is to administer a thrombolytic agent within 30 to 60 minutes of presentation to the emergency department. Whether or not thrombolytic therapy is administered, other standard therapies for AMI must not be neglected. In addition, the medical record would reflect the clinical decision-making process and consultation with an admitting physician(s).