Echocardiography may be useful to guide thrombolytic therapy in patients with clinical signs of acute MI but lacking standard ECG criteria.
May support echocardiography-guided thrombolysis in atypical MI presentations; hypothesis-generating and requires prospective validation.
Tissue plasminogen activator was administered intravenously to a patient with clinical features of, but without electrocardiographic criteria for, an acute myocardial infarction. The ultimate treatment decision was based upon echocardiographic findings diagnostic for an anteroseptal myocardial infarction. Subsequent coronary angiography demonstrated a severe proximal, but patent left anterior descending stenosis. The patient is now asymptomatic 3 months following thrombolytic therapy and coronary angioplasty.
No takes yet. Share an insight, caveat, or question.
Joel D. Eisenberg (1992) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: