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Contraindication to thrombolytic therapy in accidental hypothermia simulating acute myocardial infarction.

作者信息

Glusman A, Hasan K, Roguin N

机构信息

Department of Cardiology, Western Galilee Regional Hospital, Nahariya, Israel.

出版信息

Int J Cardiol. 1990 Aug;28(2):269-72. doi: 10.1016/0167-5273(90)90074-f.

Abstract

A 35-year-old schizophrenic patient was admitted to the Coronary Care Unit with shock, bradycardia and ST-T changes mimicking acute myocardial infarction. The rectal temperature was 33.6 degrees C and the diagnosis of accidental hypothermia was established. Accidental hypothermia must be considered in the differential diagnosis of acute myocardial infarction before instituting thrombolytic therapy.

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