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  • Title: Thrombolytic-related complication in a case of misdiagnosed myocardial infarction.
    Author: Irivbogbe O, Mirrer B, Loarte P, Gale M, Cohen R.
    Journal: Acute Card Care; 2014 Jun; 16(2):83-7. PubMed ID: 24749992.
    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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