Key result
Intracoronary streptokinase infusion for early myocardial infarction was followed by the development of left ventricular free wall rupture in a reported patient case.
This case report highlights left ventricular free wall rupture as a potential adverse effect of intracoronary streptokinase infusion for early myocardial infarction.
Warrants vigilance for rupture after intracoronary streptokinase in early MI; leaves open causality and incidence.
Thrombolytic dissolution of coronary artery thrombus has added new dimensions to early myocardial infarction treatment. Reperfusion via streptokinase infusion has been shown to be beneficial; however, adverse effects are being noted. We present the case of a patient so treated who subsequently developed left ventricular free wall rupture.
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Vasilomanolakis et al. (1983) studied this question. Intracoronary streptokinase infusion for early myocardial infarction was followed by the development of left ventricular free wall rupture in a reported patient case.
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