Document Detail

Unrecognized major bleeding following thrombolysis for acute myocardial infarction presenting with syncope.
MedLine Citation:
PMID:  9702389     Owner:  NLM     Status:  MEDLINE    
Complete atrioventricular block and syncope sometimes are the presenting signs of acute myocardial infarction. In a presyncopal attempt to assume sitting position, the patient may fall and suffer consequent trauma. Once in hospital, this sequence of events may be overlooked by both the patient and admitting physicians. Moreover, physical examination initially may not be revealing. We report on two such patients who developed massive subcutaneous bleeding following thrombolytic and heparin treatment. We conclude that these patients constitute a specific group with a relatively high risk of trauma and bleeding at the gluteal region following thrombolytic therapy. Special attention must be given to these patients.
N Cohen; R Zaidenstein; A Blatt; D A Sarafian; I Litinsky; D Modai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  21     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-10-19     Completed Date:  1998-10-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  599-601     Citation Subset:  IM    
Department of Internal Medicine A, Assaf Harofeh Medical Center, Zerifin, Israel.
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MeSH Terms
Accidental Falls
Hematoma / chemically induced*
Middle Aged
Myocardial Infarction / complications,  drug therapy*
Streptokinase / therapeutic use
Syncope / etiology*
Thrombolytic Therapy*
Tissue Plasminogen Activator / therapeutic use
Reg. No./Substance:
EC 3.4.-/Streptokinase; EC Plasminogen Activator

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