Regression of ST segment elevation after thrombolysis in acute aortic dissection

A 55-year-old man was admitted to the hospital with chest pain and electrocardiogram consistent with the diagnosis of evolving myocardial infarction. Treatment with streptokinase was administered, resulting in clinical and electrocardiographic signs of reperfusion. Hypotension and ST segment elevati...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 89; no. 11; pp. 1091 - 1094
Main Authors Safi, Jr, J, Mansur, A J, Brito, Jr, F S, Benvenuti, L A, Ratti, M A, Ramires, J A
Format Journal Article
LanguageEnglish
Published United States 01.11.1996
Subjects
Acute Disease
Aneurysm, Dissecting - complications
Aortic Aneurysm - complications
Diagnostic Errors
Electrocardiography
Fatal Outcome
Fibrinolytic Agents - adverse effects
Humans
Male
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Myocardial Infarction - drug therapy
Streptokinase - adverse effects
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Summary:A 55-year-old man was admitted to the hospital with chest pain and electrocardiogram consistent with the diagnosis of evolving myocardial infarction. Treatment with streptokinase was administered, resulting in clinical and electrocardiographic signs of reperfusion. Hypotension and ST segment elevation occurred 2 hours later and cardiac catheterization was done. At catheterization the diagnosis of aortic dissection was made, but the patient died before surgery. Thus, clinical and electrocardiographic signs of reperfusion after streptokinase may occur in patients with aortic dissection and myocardial infarction.
ISSN:0038-4348
DOI:10.1097/00007611-199611000-00013