+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Fatal hemostatic complications following erroneous thrombolytic therapy in patients with suspected acute myocardial infarction



Fatal hemostatic complications following erroneous thrombolytic therapy in patients with suspected acute myocardial infarction



Ugeskrift for Laeger 155(18): 1392-1394



This report describes the fate of two young men wrongly treated with thrombolysis for suspected myocardial infarction. Both had electrocardiographic changes upon admission. Correct diagnoses of aortic dissection and haemorrhagic pericarditis was obtained within a few hours, but, due to the prolonged disturbance of haemostasis, appropriate therapy could not be instituted, and outcome was fatal for both patients. These cases underline the importance of rigid ST criteria, and procedures for neutralization of thrombolysis are proposed.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 046078976

Download citation: RISBibTeXText

PMID: 8497975


Related references

Fatal haemostatic complications due to thrombolytic therapy in patients falsely diagnosed as acute myocardial infarction. European Heart Journal 13(6): 840-843, 1992

Prehospital thrombolytic therapy in patients with suspected acute myocardial infarction. The European Myocardial Infarction Project Group. New England Journal of Medicine 329(6): 383-389, 1993

Comparison of coronary and myocardial morphologic findings in patients with and without thrombolytic therapy during fatal first acute myocardial infarction. American Journal of Cardiology 66(12): 904-909, 1990

Effects of thrombolytic therapy in patients with suspected acute myocardial infarction without st elevation. Circulation 78(4 Part 2): II229, 1988

Relationship of age with eligibility for thrombolytic therapy and mortality among patients with suspected acute myocardial infarction. Journal of the American Geriatrics Society 42(2): 127-131, 1994

Intracerebellar fatal haemorrhage after thrombolytic therapy of suspected non-Q-wave myocardial infarction. Lancet 336(8719): 883, 1990

Cost effectiveness of thrombolytic therapy with streptokinase in elderly patients with suspected acute myocardial infarction. New England Journal of Medicine 327(1): 7, 1992

Incomplete recanalization as an important determinant of Thrombolysis in Myocardial Infarction (TIMI) grade 2 flow after thrombolytic therapy for acute myocardial infarction. TEAM Investigators. Thrombolytic Trial of Eminase in Acute Myocardial Infarction. American Journal of Cardiology 76(11): 749-752, 1995

Preoccupation with door-to-needle times increases the incidence of inappropriate thrombolytic therapy in patients with suspected acute myocardial infarction. Journal of the American College of Cardiology 31(2 Suppl. A): 489A-490A, 1998

Cardiovascular complications of thrombolytic therapy in patients with a mistaken diagnosis of acute myocardial infarction. Journal of the American College of Cardiology 14(6): 1579-1582, 1989

Is the non thrombolytic therapy still valid in the treatment of acute myocardial infarction? report of 100 consecutive cases of acute myocardial infarction treated with non thrombolytic therapy in a medical division of a general hospital. Gazzetta Medica Italiana Archivio per le Scienze Mediche 150(7-8): 281-286, 1991

Comparison of primary angioplasty with conservative therapy in patients with acute myocardial infarction and contraindications for thrombolytic therapy. Maximal Individual Therapy in Acute Myocardial Infarction (MITRA) Study Group. Catheterization and Cardiovascular Interventions 46(2): 127-133, 1999

Complications of intraaortic balloon counterpulsation insertion in patients receiving thrombolytic therapy for acute myocardial infarction. Journal of Interventional Cardiology 4(1): 49-52, 1991

Bleeding complications following initiation of thrombolytic therapy for acute myocardial infarction a comparison of helicopter transported and nontransported patients. Annals of Emergency Medicine 20(8): 892-895, 1991

Prediction of 24 h, nonfatal complications in patients with acute myocardial infarction receiving thrombolytic therapy by calculation of the ST segment deviation score. Canadian Journal of Cardiology 19(2): 151-157, 2003