title: [Repeated early systemic lysis in acute myocardial infarct with recurrent ventricular fibrillation].
abstract: A 46-year-old man sustained an extensive acute inferoposterior myocardial infarction with cardiogenic shock. Recurrent ventricular fibrillation was controlled and enlargement of the infarct prevented by systemic thrombolysis, first begun in the ambulance and later twice repeated. Coronary angiography demonstrated isolated 50% stenosis of the circumflex branch in a left-dominant coronary circulation. Subsequent ventriculography demonstrated normal left-ventricular function.
authors.affiliation: Universitätsklinikum Rudolf Virchow, Freien Universität Berlin.
authors.forename: T
authors.initials: T
authors.lastname: Bodemann
authors.forename: D
authors.initials: D
authors.lastname: Nunberger
authors.forename: H
authors.initials: H
authors.lastname: Hochrein
mesh_terms: D000792:Angiography; D004796:Clinical Enzyme Tests; D017023:Coronary Angiography; D004554:Electric Countershock; D004562:Electrocardiography; D006801:Humans; D007263:Infusions, Parenteral; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D012008:Recurrence; D013300:Streptokinase / Q000008:administration & dosage*; D014693:Ventricular Fibrillation / Q000209:etiology* / Q000628:therapy
chemical_list: D013300:Streptokinase
vernacular_title: Mehrfache systemische Frühlyse bei akutem Myokardinfarkt mit rezidivierendem Kammerflimmern.