| Liver rupture after cardiopulmonary resuscitation in a patient receiving thrombolytic therapy. | |
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MedLine Citation:
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PMID: 8923584 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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P M Druwé; F J Cools; H J De Raedt; L L Bossaert |
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15282444 - Natriuretic peptides and the management of heart failure. 10171564 - Thrombolytic treatment of an acute anterior myocardial infarction based upon echocardio... |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Resuscitation Volume: 32 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 1996 Oct |
Date Detail:
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Created Date: 1997-02-11 Completed Date: 1997-02-11 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: IRELAND |
Other Details:
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Languages: eng Pagination: 213-6 Citation Subset: IM |
Affiliation:
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Department of Intensive Care Medicine, University of Antwerp U.I.A., University Hospital, Edegem, Belgium. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cardiopulmonary Resuscitation / adverse effects* Female Humans Liver / injuries* Myocardial Infarction / drug therapy Rupture Thrombolytic Therapy* Ventricular Fibrillation / therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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