[A diffuse pulmonary hemorrhage following thrombolytic therapy in an acute myocardial infarct].
A sixty-years-old man was admitted to the hospital because of acute myocardial infarction of anterior location. He had four episodes of ventricular fibrillation each requiring defibrillation and short-term cardiopulmonary resuscitation (less than 10 minutes). He was then managed with thrombolytic therapy, therapeutic doses of heparin and aspirin. He had persistent haemoptysis, chest X-ray revealing a diffuse bilateral alveolar infiltration. There was a continuous decrease in hemoglobin and hematocrit levels, with an evident clinical-radiographic dissociation. Right cardiac catheterisation showed a normal left ventricular function. The single breath carbon monoxide diffusing capacity (DLCOsb) was high, indicative of a diffuse intrapulmonary haemorrhage causing the alveolar infiltration.
Cuéllar Obispo
E
E
Servicio de Medicina Intensiva, Hospital Regional Carlos Haya, Málaga.
Torrado González
E
E
Alvarez Bueno
M
M
Ferriz Martín
J A
JA
Vera Almazán
A
A
Rodríguez García
J J
JJ
D000075202:Contraindications; D004359:Drug Therapy, Combination; D004630:Emergencies; D006469:Hemoptysis / Q000139:chemically induced / Q000175:diagnosis; D006470:Hemorrhage / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D008171:Lung Diseases / Q000139:chemically induced* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy; D013300:Streptokinase / Q000009:adverse effects*; D015912:Thrombolytic Therapy / Q000009:adverse effects*
D013300:Streptokinase
Hemorragia pulmonar difusa tras terapia trombolítica en infarto agudo de miocardio.