Cardiac tamponade after thrombolysis.
Thrombolysis has been very effective in reducing the morbidity and mortality from acute myocardial infarction. Serious adverse events are not uncommon, however. We describe a case in which a haemopericardium and tamponade developed in a patient with a history of recurrent idiopathic pericarditis and to whom streptokinase had been administered following a suspected myocardial infarction. The case highlights the need for caution in the administration of thrombolytics to patients with a documented history of pericarditis.
Department of Medicine, Kingston Hospital, Kingston upon Thames, Surrey, UK.
T D
TD
Heymann
W
W
Culling
D000328:Adult; D002305:Cardiac Tamponade / Q000139:chemically induced*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000517:prevention & control; D010490:Pericardial Effusion / Q000139:chemically induced; D010493:Pericarditis / Q000150:complications; D013300:Streptokinase / Q000009:adverse effects*; D015912:Thrombolytic Therapy / Q000009:adverse effects*
D013300:Streptokinase