Document Detail

Do we need echocardiography before commencing thrombolytic therapy?
MedLine Citation:
PMID:  20825889     Owner:  NLM     Status:  MEDLINE    
We report a case of a 41-year-old man who had fatal multiple cerebral and bilateral renal infarcts 1 hour after initiation of thrombolytic therapy for acute ST elevation myocardial infarction. Echocardiography study disclosed dilated left ventricle with severe global hypokinesia suggestive of preexisting cardiomyopathy and a disintegrated left ventricular apical thrombus pointing out to the source of the embolic complication. This raises the question whether echocardiography before initiating thrombolytic therapy would affect the decision of commencing thrombolytic therapy and help avoiding such lethal embolic complications.
Adel M Hasanin; Abdulhalim J Kinsara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  29     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-21     Completed Date:  2011-04-04     Revised Date:  2011-10-05    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  240.e1-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Department of Medicine, King Abdul Aziz Medical City, Jeddah, Kingdom of Saudi Arabia.
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MeSH Terms
Cardiomyopathies / ultrasonography
Cerebral Infarction / complications,  etiology
Fatal Outcome
Kidney / blood supply
Myocardial Infarction / therapy*,  ultrasonography
Risk Assessment / methods
Thromboembolism / etiology*,  ultrasonography
Thrombolytic Therapy / adverse effects*,  contraindications
Ventricular Dysfunction, Left / ultrasonography
Comment In:
Am J Emerg Med. 2011 Sep;29(7):817-8   [PMID:  21641160 ]

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