Is It Safe to Administer Thrombolytic Therapy to Myocardial Infarction Patients Soon after Laparoscopic Cholecystectomy?
Thrombolytic therapy is usually contraindicated after abdominal surgery because of the risk of bleeding. We report a case of a 73-year-old woman who was admitted because of anterior wall acute myocardial infarction (AMI) two weeks after laparoscopic cholecystectomy. She was treated with streptokinas...
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| Veröffentlicht in: | Cardiology 1999-01, Vol.92 (1), p.71-72 |
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| container_title | Cardiology |
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| creator | Kobal, Sergio Orlov, Genadi Gilutz, Harel Cafri, Carlos Battler, Alexander Leor, Jonathan |
| description | Thrombolytic therapy is usually contraindicated after abdominal surgery because of the risk of bleeding. We report a case of a 73-year-old woman who was admitted because of anterior wall acute myocardial infarction (AMI) two weeks after laparoscopic cholecystectomy. She was treated with streptokinase, aspirin and heparin and subsequently developed a hematoma at the site of the removed gallbladder. Our observation suggests that thrombolytic therapy for anterior AMI, two weeks after laparoscopic cholecystectomy, should be considered as a relative contraindication and an optional treatment in this life-threatening situation. |
| doi_str_mv | 10.1159/000006950 |
| format | Article |
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We report a case of a 73-year-old woman who was admitted because of anterior wall acute myocardial infarction (AMI) two weeks after laparoscopic cholecystectomy. She was treated with streptokinase, aspirin and heparin and subsequently developed a hematoma at the site of the removed gallbladder. Our observation suggests that thrombolytic therapy for anterior AMI, two weeks after laparoscopic cholecystectomy, should be considered as a relative contraindication and an optional treatment in this life-threatening situation.</description><identifier>ISSN: 0008-6312</identifier><identifier>EISSN: 1421-9751</identifier><identifier>DOI: 10.1159/000006950</identifier><identifier>PMID: 10640801</identifier><identifier>CODEN: CAGYAO</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Aged ; Biological and medical sciences ; Blood. Blood coagulation. 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We report a case of a 73-year-old woman who was admitted because of anterior wall acute myocardial infarction (AMI) two weeks after laparoscopic cholecystectomy. She was treated with streptokinase, aspirin and heparin and subsequently developed a hematoma at the site of the removed gallbladder. Our observation suggests that thrombolytic therapy for anterior AMI, two weeks after laparoscopic cholecystectomy, should be considered as a relative contraindication and an optional treatment in this life-threatening situation.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood coagulation. Reticuloendothelial system</subject><subject>Case Report</subject><subject>Cholecystectomy, Laparoscopic</subject><subject>Contraindications</subject><subject>Female</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Hematoma - etiology</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - drug therapy</subject><subject>Pharmacology. 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Blood coagulation. Reticuloendothelial system</topic><topic>Case Report</topic><topic>Cholecystectomy, Laparoscopic</topic><topic>Contraindications</topic><topic>Female</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Hematoma - etiology</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Myocardial Infarction - drug therapy</topic><topic>Pharmacology. 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| source | MEDLINE; Karger Journals Complete |
| subjects | Aged Biological and medical sciences Blood. Blood coagulation. Reticuloendothelial system Case Report Cholecystectomy, Laparoscopic Contraindications Female Gastrointestinal Hemorrhage - etiology Hematoma - etiology Humans Medical sciences Myocardial Infarction - drug therapy Pharmacology. Drug treatments Thrombolytic Therapy - adverse effects |
| title | Is It Safe to Administer Thrombolytic Therapy to Myocardial Infarction Patients Soon after Laparoscopic Cholecystectomy? |
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