Ferguson D W, Dewey R C, Plante D A
Can J Cardiol. 1986 May-Jun;2(3):146-51.
A 32 year old patient who presented with a clinical and electrocardiographic picture consistent with an acute inferior myocardial infarction was treated with intravenous streptokinase without the aid of acute angiographic study. Subsequent evaluation revealed the initial diagnosis of acute infarction to be incorrect and the patient was found to have acute viral myopericarditis. No adverse sequelae resulted from the administration of the thrombolytic agent. The potential and reported adverse effects of a non-invasive thrombolytic approach to presumed acute infarction are reviewed and considerations related to clinical decision making in this setting are discussed.
一名32岁患者，临床表现和心电图表现符合急性下壁心肌梗死，在未进行急性血管造影研究的情况下接受了静脉链激酶治疗。随后的评估显示，最初的急性梗死诊断不正确，该患者被发现患有急性病毒性心肌心包炎。溶栓剂的使用未导致不良后遗症。本文回顾了对疑似急性梗死采用非侵入性溶栓方法的潜在及已报道的不良反应，并讨论了在此情况下与临床决策相关的注意事项。
