Thrombolytic-related complication in a case of misdiagnosed myocardial infarction.

Acute cardiac care Pub Date : 2014-06-01 Epub Date: 2014-04-21 DOI:10.3109/17482941.2014.902470
Osereme Irivbogbe, Brooks Mirrer, Pablo Loarte, Michael Gale, Ronny Cohen
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引用次数: 3

Abstract

The importance of early thrombolysis in acute myocardial infarction has been highlighted in several large trials. The clinical decision is often taken by physicians who need to take a rapid action with the risk of misdiagnosing non-coronary events that mimic myocardial infarction. Here we describe a case of acute pericarditis in a 37-year-old man whom received thrombolysis and developed a sudden hemorrhagic pericardial effusion that evolved rapidly into a cardiac tamponade. These errors leading to lethal thrombolysis complications have been surprisingly rare; but a correct diagnosis of aortic dissection or hemorrhagic pericarditis needs to be stressed because even after obtaining the correct diagnosis, the prolonged disturbance of hemostasis prevents a rapid therapy being instigated.

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误诊心肌梗死的溶栓相关并发症1例。
早期溶栓治疗急性心肌梗死的重要性已在几个大型试验中得到强调。临床决策通常是由医生做出的,他们需要采取快速行动,冒着误诊类似心肌梗死的非冠状动脉事件的风险。我们在此报告一个37岁的急性心包炎患者,他接受了溶栓治疗,并发突发性出血性心包积液,并迅速发展为心包填塞。这些导致致死性溶栓并发症的错误非常罕见;但主动脉夹层或出血性心包炎的正确诊断需要强调,因为即使在获得正确诊断后,长期的止血障碍阻碍了快速治疗。
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