Contraindication to thrombolytic therapy in accidental hypothermia simulating acute myocardial infarction.
A 35-year-old schizophrenic patient was admitted to the Coronary Care Unit with shock, bradycardia and ST-T changes mimicking acute myocardial infarction. The rectal temperature was 33.6 degrees C and the diagnosis of accidental hypothermia was established. Accidental hypothermia must be considered in the differential diagnosis of acute myocardial infarction before instituting thrombolytic therapy.
Department of Cardiology, Western Galilee Regional Hospital, Nahariya, Israel.
A
A
Glusman
K
K
Hasan
N
N
Roguin
D000328:Adult; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007035:Hypothermia / Q000175:diagnosis*; D009203:Myocardial Infarction / Q000175:diagnosis*; D015912:Thrombolytic Therapy