Title |
A successfully thrombolysed acute inferior myocardial infarction due to type A aortic dissection with lethal consequences: the importance of early cardiac echocardiography
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Published in |
Journal of Cardiothoracic Surgery, August 2011
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DOI | 10.1186/1749-8090-6-101 |
Pubmed ID | |
Authors |
Grigorios Tsigkas, Georgios Kasimis, Konstantinos Theodoropoulos, Konstantinos Chouchoulis, Nikolaos G Baikoussis, Efstratios Apostolakis, Eleni Bousoula, Athanasios Moulias, Dimitrios Alexopoulos |
Abstract |
Thrombolysis, a standard therapy for ST elevation myocardial infarction (STEMI) in non-PCI-capable hospitals, may be catastrophic for patients with aortic dissection leading to further expansion, rupture and uncontrolled bleeding. Stanford type A aortic dissection, rarely may mimic myocardial infarction. We report a case of a patient with an inferior STEMI thrombolysed with tenecteplase and followed by clinical and electrocardiographic evidence of successful reperfusion, which was found later to be a lethal acute aortic dissection. Prognostic implications of early diagnosis applying transthoracic echocardiography (TTE) are described. |
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Geographical breakdown
Country | Count | As % |
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Unknown | 23 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 5 | 22% |
Student > Bachelor | 5 | 22% |
Researcher | 4 | 17% |
Student > Postgraduate | 3 | 13% |
Librarian | 1 | 4% |
Other | 4 | 17% |
Unknown | 1 | 4% |
Readers by discipline | Count | As % |
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Pharmacology, Toxicology and Pharmaceutical Science | 1 | 4% |
Economics, Econometrics and Finance | 1 | 4% |
Biochemistry, Genetics and Molecular Biology | 1 | 4% |
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Unknown | 1 | 4% |