Ischemic stroke after administration of fibrinolytics in a patient with a ventricular pseudoaneurysm.
Am J Emerg Med
; 27(9): 1176.e5-7, 2009 Nov.
Article
em En
| MEDLINE
| ID: mdl-19931794
ABSTRACT
We present a case of a 66-year-old man with a preexisting left ventricular pseudoaneurysm as a sequel of an old inferoposterior myocardial infarction. The patient currently presented with respiratory insufficiency and chest pain. Based on his admittance electrocardiogram, he was treated with fibrinolytics for a presumed acute inferior ST-elevation myocardial infarction (in fact, the ST-elevations were the hallmark of the pseudoaneurysm). This treatment caused extensive ischemic stroke, as a consequence of dissolution and embolization of thrombi that were abundantly present in the pseudoaneurysm. The admittance electrocardiogram pointed out to be misleading to the treating physician and led to the unnecessary administration of fibrinolytics with serious complications.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Coronário
/
Isquemia Encefálica
/
Falso Aneurisma
/
Erros Médicos
/
Acidente Vascular Cerebral
/
Fibrinolíticos
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article