Intraventricular bleeding after the use of thrombolytics in a cocaine user.
Cocaine-induced myocardial infarct is a medical emergency with increasing prevalence. The efficacy of thrombolytics in patients with cocaine-induced infarcts has not been well studied. This report describes the case of a patient who presented with presumed cocaine-induced myocardial infarct. The patient was treated with intravenous thrombolysis and developed an intraventricular bleed with herniation and death. Physicians should be aware of this grave consequence in a generally young population.
LoVecchio
F
F
Department of Emergency Medicine, Mount Sinai School of Medicine, Beth Israel Medical Center and Elmhurst Medical Center, New York, NY, USA.
Nelson
L
L
D002543:Cerebral Hemorrhage / Q000139:chemically induced*; D003042:Cocaine; D004630:Emergencies; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000188:drug therapy*; D010960:Plasminogen Activators / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000150:complications*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D010959:Tissue Plasminogen Activator / Q000009:adverse effects*
D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator; D003042:Cocaine