[Fatal hemostatic complications following erroneous thrombolytic therapy in patients with suspected acute myocardial infarction].
This report describes the fate of two young men wrongly treated with thrombolysis for suspected myocardial infarction. Both had electrocardiographic changes upon admission. Correct diagnoses of aortic dissection and haemorrhagic pericarditis was obtained within a few hours, but, due to the prolonged disturbance of haemostasis, appropriate therapy could not be instituted, and outcome was fatal for both patients. These cases underline the importance of rigid ST criteria, and procedures for neutralization of thrombolysis are proposed.
Eriksen
U H
UH
Kardiologisk Afdeling B, Skejby Sygehus, Arhus.
Mølgaard
H
H
Ingerslev
J
J
Nielsen
T T
TT
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis; D001014:Aortic Aneurysm / Q000175:diagnosis; D003951:Diagnostic Errors; D004562:Electrocardiography; D006487:Hemostasis / Q000187:drug effects*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy; D010493:Pericarditis / Q000175:diagnosis; D013300:Streptokinase / Q000008:administration & dosage / Q000009:adverse effects*; D015912:Thrombolytic Therapy / Q000009:adverse effects*
D013300:Streptokinase
Letale haemostasekomplikationer som følge af fejlagtig trombolytisk terapi hos patienter mistaenkt for akut myokardieinfarkt.