Vera-Cruz, Ana and Cerol, Marta and Pereira, Maria Margarida and Canadas, Sónia and Mortágua, Juliana and Gherbovetchi, Ion and Andrade, José Pedro (2020) Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent Outcome Ana Vera-Cruz. European Journal of Case Reports in Internal Medicine, 7 (4). ISSN 2284-2594
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Abstract
Intravenous thrombolysis with recombinant tissue plasminogen activator (rtPA) is the established treatment for acute ischemic stroke and has been highly effective in reducing the neurological deficit. Serious adverse events are not uncommon, with hemorrhage being the major complication. We describe the case of a patient with acute ischemic stroke that also presented with vague cardiac symptoms and was treated with rtPA, which was complicated by a hemopericardium causing cardiac tamponade. Pericardiocentesis was promptly performed, which resulted in rapid resolution of the cardiogenic shock. The patient recovered consciousness within a few minutes. A search of the MEDLINE database shows that this is the first report of cardiac tamponade after rtPA thrombolysis occurring in a patient with no history of recent myocardial infarction or aortic dissection.
| Item Type: | Article |
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| Uncontrolled Keywords: | Acute ischemic stroke, tissue plasminogen activator, thrombolysis, hemopericardium, cardiac tamponade |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 24 Nov 2020 13:54 |
| Last Modified: | 24 Nov 2020 13:54 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/19988 |
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