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Cardiovascular complications of thrombolytic therapy in patients with a mistaken diagnosis of acute myocardial infarction.

Abstract：

:Thrombolytic drugs given to patients with a mistaken diagnosis of acute myocardial infarction could produce adverse effects, although no such cases have been reported. Two patients treated with intravenous streptokinase for presumed but nonexistent acute myocardial infarction are described. Pericardial tamponade developed in both patients, in one after aortic dissection and in the other after pericarditis. Both required surgery; one died. Symptoms and electrocardiographic abnormalities mimicking acute myocardial infarction may be caused by non-coronary syndromes. In such cases, treatment with thrombolytic agents may exacerbate the underlying disease process and produce cardiovascular complications.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Blankenship JC,Almquist AK

doi

10.1016/0735-1097(89)90402-6

subject

Has Abstract

pub_date

1989-11-15 00:00:00

pages

1579-82

issue

6

eissn

0735-1097

issn

1558-3597

pii

0735-1097(89)90402-6

journal_volume

14

pub_type

杂志文章

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