| Ischemic stroke after administration of fibrinolytics in a patient with a ventricular pseudoaneurysm. | |
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MedLine Citation:
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PMID: 19931794 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a case of a 66-year-old man with a preexisting left ventricular pseudoaneurysm as a sequel of an old inferoposterior myocardial infarction. The patient currently presented with respiratory insufficiency and chest pain. Based on his admittance electrocardiogram, he was treated with fibrinolytics for a presumed acute inferior ST-elevation myocardial infarction (in fact, the ST-elevations were the hallmark of the pseudoaneurysm). This treatment caused extensive ischemic stroke, as a consequence of dissolution and embolization of thrombi that were abundantly present in the pseudoaneurysm. The admittance electrocardiogram pointed out to be misleading to the treating physician and led to the unnecessary administration of fibrinolytics with serious complications. |
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Authors:
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Vincent Michiels; Steven Haine; Christiaan Vrints |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 27 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-11-25 Completed Date: 2010-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 1176.e5-7 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium. vincentmichiels@telenet.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, False / complications, diagnosis*, therapy Brain Ischemia / diagnosis, etiology*, therapy Coronary Aneurysm / complications, diagnosis*, therapy Fibrinolytic Agents / adverse effects* Heart Ventricles Humans Male Medical Errors* Myocardial Infarction / complications, diagnosis, drug therapy Stroke / diagnosis, etiology*, therapy |
| Chemical | |
Reg. No./Substance:
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0/Fibrinolytic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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