Eriksen U H, Mølgaard H, Ingerslev J, Nielsen T T
Department of Cardiology, Skejby University Hospital, Arhus, Denmark.
Eur Heart J. 1992 Jun;13(6):840-3. doi: 10.1093/oxfordjournals.eurheartj.a060266.
This report describes the fate of two young men wrongly treated with thrombolysis for suspected myocardial infarction. Both had electrocardiographic changes upon admission. Correct diagnosis of aortic dissection and haemorrhagic pericarditis was obtained within a few hours, but due to the prolonged disturbance of haemostasis, appropriate therapy could not be instituted, and outcome was fatal for both patients. These cases underline the importance of rigid ST criteria, and procedures for neutralization of thrombolysis are proposed.
