Thrombolytic treatment of an acute anterior myocardial infarction based upon echocardiography and in the absence of electrocardiographic criteria.
Tissue plasminogen activator was administered intravenously to a patient with clinical features of, but without electrocardiographic criteria for, an acute myocardial infarction.  The ultimate treatment decision was based upon echocardiographic findings diagnostic for an anteroseptal myocardial infarction.  Subsequent coronary angiography demonstrated a severe proximal, but patent left anterior descending stenosis.  The patient is now asymptomatic 3 months following thrombolytic therapy and coronary angioplasty.
Eisenberg
J D
JD
Cardio-Pulmonary Department, Sparrow Hospital, and the College of Human Medicine, Michigan State University, Lansing 48909.
D000328:Adult; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*