Document Detail


Clinical pitfalls in the non-invasive thrombolytic approach to presumed acute myocardial infarction.
MedLine Citation:
PMID:  3719448     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 32 year old patient who presented with a clinical and electrocardiographic picture consistent with an acute inferior myocardial infarction was treated with intravenous streptokinase without the aid of acute angiographic study. Subsequent evaluation revealed the initial diagnosis of acute infarction to be incorrect and the patient was found to have acute viral myopericarditis. No adverse sequelae resulted from the administration of the thrombolytic agent. The potential and reported adverse effects of a non-invasive thrombolytic approach to presumed acute infarction are reviewed and considerations related to clinical decision making in this setting are discussed.
Authors:
D W Ferguson; R C Dewey; D A Plante
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  2     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:    1986 May-Jun
Date Detail:
Created Date:  1986-08-12     Completed Date:  1986-08-12     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  146-51     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnostic Errors
Electrocardiography
Humans
Influenza, Human / diagnosis*
Male
Myocardial Infarction / diagnosis*
Myocarditis / diagnosis*
Pericarditis / diagnosis*
Streptokinase / administration & dosage,  therapeutic use*
Chemical
Reg. No./Substance:
EC 3.4.-/Streptokinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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