Document Detail

Ischemic stroke after administration of fibrinolytics in a patient with a ventricular pseudoaneurysm.
MedLine Citation:
PMID:  19931794     Owner:  NLM     Status:  MEDLINE    
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.
Vincent Michiels; Steven Haine; Christiaan Vrints
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1176.e5-7     Citation Subset:  IM    
Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium.
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MeSH Terms
Aneurysm, False / complications,  diagnosis*,  therapy
Brain Ischemia / diagnosis,  etiology*,  therapy
Coronary Aneurysm / complications,  diagnosis*,  therapy
Fibrinolytic Agents / adverse effects*
Heart Ventricles
Medical Errors*
Myocardial Infarction / complications,  diagnosis,  drug therapy
Stroke / diagnosis,  etiology*,  therapy
Reg. No./Substance:
0/Fibrinolytic Agents

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