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.
Glusman
A
A
Department of Cardiology, Western Galilee Regional Hospital, Nahariya, Israel.
Hasan
K
K
Roguin
N
N
D000328:Adult; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007035:Hypothermia / Q000175:diagnosis*; D009203:Myocardial Infarction / Q000175:diagnosis*; D015912:Thrombolytic Therapy