Thrombolytic-related complication in a case of misdiagnosed myocardial infarction

Osereme Irivbogbe, Brooks Mirrer, Pablo Loarte, Michael Gale, Ronny Cohen

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The importance of early thrombolysis in acute myocardial infarction has been highlighted in several large trials. The clinical decision is often taken by physicians who need to take a rapid action with the risk of misdiagnosing non-coronary events that mimic myocardial infarction. Here we describe a case of acute pericarditis in a 37-year-old man whom received thrombolysis and developed a sudden hemorrhagic pericardial effusion that evolved rapidly into a cardiac tamponade. These errors leading to lethal thrombolysis complications have been surprisingly rare; but a correct diagnosis of aortic dissection or hemorrhagic pericarditis needs to be stressed because even after obtaining the correct diagnosis, the prolonged disturbance of hemostasis prevents a rapid therapy being instigated.

Original languageEnglish (US)
Pages (from-to)83-87
Number of pages5
JournalAcute Cardiac Care
Volume16
Issue number2
DOIs
StatePublished - Jun 2014
Externally publishedYes

Keywords

  • Myocardial infarction
  • Streptokinase
  • Thrombolysis

ASJC Scopus subject areas

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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