Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent Outcome
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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SMC MEDIA SRL
2020-03-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/1534 |
| _version_ | 1819174925667139584 |
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| author | Ana Vera-Cruz Marta Cerol Maria Margarida Pereira Sónia Canadas Juliana Mortágua Ion Gherbovetchi José Pedro Andrade |
| author_facet | Ana Vera-Cruz Marta Cerol Maria Margarida Pereira Sónia Canadas Juliana Mortágua Ion Gherbovetchi José Pedro Andrade |
| author_sort | Ana Vera-Cruz |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T20:46:43Z |
| format | Article |
| id | doaj.art-e30ed276126b470aa857e3f7783b78ef |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2024-12-22T20:46:43Z |
| publishDate | 2020-03-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-e30ed276126b470aa857e3f7783b78ef2022-12-21T18:13:12ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-03-0110.12890/2020_0015341184Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent OutcomeAna Vera-Cruz0Marta Cerol1Maria Margarida Pereira2Sónia Canadas3Juliana Mortágua4Ion Gherbovetchi5José Pedro Andrade6Medicine Department, Internal Medicine Service, District Hospital of Santarém, Santarém, PortugalMedicine Department, Internal Medicine Service, District Hospital of Santarém, Santarém, PortugalMedicine Department, Internal Medicine Service, District Hospital of Santarém, Santarém, PortugalMedicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, PortugaEmergency Department, Intermediate Care Unit, District Hospital of Santarém, Santarém, PortugalEmergency Department, Intermediate Care Unit, District Hospital of Santarém, Santarém, PortugalEmergency Department, Intermediate Care Unit, District Hospital of Santarém, Santarém, PortugalIntravenous 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.https://www.ejcrim.com/index.php/EJCRIM/article/view/1534acute ischemic stroketissue plasminogen activatorthrombolysishemopericardiumcardiac tamponade |
| spellingShingle | Ana Vera-Cruz Marta Cerol Maria Margarida Pereira Sónia Canadas Juliana Mortágua Ion Gherbovetchi José Pedro Andrade Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent Outcome European Journal of Case Reports in Internal Medicine acute ischemic stroke tissue plasminogen activator thrombolysis hemopericardium cardiac tamponade |
| title | Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent Outcome |
| title_full | Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent Outcome |
| title_fullStr | Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent Outcome |
| title_full_unstemmed | Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent Outcome |
| title_short | Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke - A Case with an Excellent Outcome |
| title_sort | cardiac tamponade after thrombolysis for acute ischemic stroke a case with an excellent outcome |
| topic | acute ischemic stroke tissue plasminogen activator thrombolysis hemopericardium cardiac tamponade |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/1534 |
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