학술논문

Alveolar Hemorrhage Following Thrombolytic Therapy for Acute Myocardial Infarction: Two Case Reports and Literature Review
Document Type
Academic Journal
Source
Open Access Emergency Medicine. August 31, 2021, Vol. 13, p399, 7 p.
Subject
Tunisia
Language
English
ISSN
1179-1500
Abstract
Alveolar hemorrhage (AH) is a heterogeneous clinical syndrome with a high mortality rate, characterized by extensive bleeding into the alveolar spaces. AH secondary to systemic thrombolysis treatment in the setting of acute myocardial infarction is an uncommon complication, but potentially fatal and can lead to acute respiratory failure. This entity is rarely reported in the literature. We report two cases of acute AH after intravenous thrombolysis for acute myocardial infarction, which could contribute to the literature on the subject, and discuss the risk factors as well as the clinical and radiological findings supporting the diagnosis. We overview also the rare previous published case reports in this context, and we contrast our findings with those reported in the literature. Keywords: hemoptysis, alveolar hemorrhage, myocardial infarction, fibrinolytic therapy, streptokinase
Introduction Alveolar hemorrhage is a clinical syndrome resulting from bleeding into the alveolar spaces secondary to disruption of the alveolar-capillary membrane. It is a rare and serious medical emergency potentially [...]