Rescue thrombolysis in the treatment of cardiac shock and acute stroke.
Am J Emerg Med
; 31(5): 891.e1-3, 2013 May.
Article
em En
| MEDLINE
| ID: mdl-23602755
ABSTRACT
The patients with ST-elevation myocardial infarction are primarily managed with percutaneous coronary intervention (PCI) or thrombolysis. It is well accepted that rescue PCI should be implemented in case of unsuccessful thrombolysis. However, the reverse, rescue thrombolysis, that is, administering of thrombolytic therapy in a patient in whom primary PCI fails, is not well defined. There are no available data about rescue thrombolysis so far. We represent a 43-year-old male patient with Buerger disease (thromboangiitis obliterans) who was admitted to our emergency department for cardiac shock related to inferior and right ventricular ST-elevation myocardial infarction. He was found to have occlusion of both right coronary artery and left anterior descending artery and managed with rescue thrombolysis. It was subsequently recognized that he had concurrent stroke caused by posterior cerebral artery (PCA) occlusion and improved with thrombolysis. It is reported for the first time that rescue thrombolysis has been put into practice and yielded great result after unsuccessful primary PCI.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Choque Cardiogênico
/
Terapia de Salvação
/
Ativador de Plasminogênio Tecidual
/
Infarto da Artéria Cerebral Posterior
/
Fibrinolíticos
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Turquia