Thrombolytic therapy in acute pancreatitis presenting as acute myocardial infarction Academic Article uri icon

abstract

  • In the treatment of patients with suspected acute myocardial infarction, the use of thrombolytic therapy could be coined as ‘the race against time’, as rapid implementation of thrombolysis may save myocardial mass and decrease mortality. In cases having typical clinical presentations and ECG changes, a rapid and accurate therapeutic decision must be made. In patients with atypical clinical signs and ECG recordings, the chronologic urgency may force a decision concerning the use of thrombolysis while the diagnosis is uncertain. In these circumstances, thrombolytic therapy may be dangerous, particularly in cases of aortic dissection, pericarditis and gastrointestinal tract pathology. Gastrointestinal disorders presenting with epigastric pain are an important part of the differential diagnosis of myocardial infarction. In this situation, the ECG

publication date

  • January 1, 1995