Intracranial hematoma development following thrombolysis inpatients suffering with acute myocardial infarction: Management strategy

Intracerebral hemorrhage secondary to thrombolysis in patients with acute myocardial infarction is a catastrophic condition. Several factors predispose to intracranial bleeding including low body weight, female sex, advanced age, use of oral anticoagulants prior to the administration of fibrinolytic...

Full description

Bibliographic Details
Main Authors: Luis Rafael Moscote Salazar, Amit Agrawal, Guru Dutta Satyarthee, George Chater Cure, Alfonso Pacheco-Hernandez
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Acute Disease
Subjects:
Online Access:http://www.jadweb.org/article.asp?issn=2221-6189;year=2018;volume=7;issue=5;spage=217;epage=219;aulast=Salazar
Description
Summary:Intracerebral hemorrhage secondary to thrombolysis in patients with acute myocardial infarction is a catastrophic condition. Several factors predispose to intracranial bleeding including low body weight, female sex, advanced age, use of oral anticoagulants prior to the administration of fibrinolytic therapy, diastolic blood pressure (greater than 110 mm Hg), among others. Optimal medical management involves multidisciplinary roles of hematology, neurosurgery and critical medicine. In this illustrative case, a classification and management algorithm were proposed for patients with complications hemorrhage associated with thrombolysis after myocardial infarction.
ISSN:2221-6189
2589-5516