Hemopericardium and cardiac tamponade after thrombolysis for acute ischemic stroke.
case_series · Level IV
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- Record sourced from PubMed, PMID 9633741.
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Abstract
Hemorrhage is the major complication of IV recombinant tissue plasminogen activator (rt-PA) treatment for stroke. We report three patients with mild or indistinct cardiac symptoms prior to thrombolysis in whom hemodynamically significant cardiac tamponade occurred after treatment with rt-PA. Acute ischemic stroke patients may have undetected myocardial or pericardial disease that may pose a risk for hemopericardium and life-threatening tamponade after treatment with rt-PA.
Medical subject headings
- Brain Ischemia
- Cardiac Tamponade
- Cerebrovascular Disorders
- Pericardial Effusion
- Plasminogen Activators
- Thrombolytic Therapy
- Tissue Plasminogen Activator