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Southern medical journal · Nov 1996
Case ReportsRegression of ST segment elevation after thrombolysis in acute aortic dissection.
- J Safi, A J Mansur, F S Brito, L A Benvenuti, M A Ratti, and J A Ramires.
- Clinical Division, Heart Institute, Medical School, University of São Paulo, Brazil.
- South. Med. J. 1996 Nov 1;89(11):1091-3.
AbstractA 55-year-old man was admitted to the hospital with chest pain and electrocardiogram consistent with the diagnosis of evolving myocardial infarction. Treatment with streptokinase was administered, resulting in clinical and electrocardiographic signs of reperfusion. Hypotension and ST segment elevation occurred 2 hours later and cardiac catheterization was done. At catheterization the diagnosis of aortic dissection was made, but the patient died before surgery. Thus, clinical and electrocardiographic signs of reperfusion after streptokinase may occur in patients with aortic dissection and myocardial infarction.
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