Document Detail

Liver rupture after cardiopulmonary resuscitation in a patient receiving thrombolytic therapy.
MedLine Citation:
PMID:  8923584     Owner:  NLM     Status:  MEDLINE    
A patient with an acute myocardial infarction had to be resuscitated due to recurring ventricular fibrillation. After stabilisation, she received thrombolytic treatment with anistreplase. Fourteen hours later, clinical signs of hemoperitoneum developed and the diagnosis of liver rupture was made. After abdominal surgery and coronary revascularisation, the subsequent clinical course was uncomplicated. The literature on liver trauma after CPR as well as thrombolysis in association with CPR is reviewed. This observation suggests that there are no convincing arguments to withhold thrombolytic therapy in acute myocardial infarction after CPR in the absence of gross trauma. We stress that a high degree of clinical alertness is necessary to diagnose this life-threatening condition because of its frequent subacute evolution in patients that are per se hemodynamically unstable.
P M Druwé; F J Cools; H J De Raedt; L L Bossaert
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  32     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-02-11     Completed Date:  1997-02-11     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  213-6     Citation Subset:  IM    
Department of Intensive Care Medicine, University of Antwerp U.I.A., University Hospital, Edegem, Belgium.
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MeSH Terms
Cardiopulmonary Resuscitation / adverse effects*
Liver / injuries*
Myocardial Infarction / drug therapy
Thrombolytic Therapy*
Ventricular Fibrillation / therapy*

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

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