Vol 62, No 5 (2005)
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Published online: 2005-12-12
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Repeated administration of t-PA and abciximab in a patient with anterior myocardial infarction - a case report

Sławomir Dobrzycki, Marek Rewicki, Jerzy Żuk, Kamil Gugała, Hanna Bachórzewska-Gajewska
DOI: 10.33963/v.kp.81642
Kardiol Pol 2005;62(5):462-466.

Abstract

Repeated administration of t-PA and abciximab in a patient with anterior myocardial infarction - a case report: A case of a 40-year-old male with acute anterior myocardial infarction (MI) is presented. Due to the angiographic equipment failure, the patient did not undergo primary angioplasty and received heparin and 100 mg of t-PA. This treatment was associated with clinical and ECG signs of reperfusion, however, 30 minutes after completion of t-PA infusion, the patient developed clinical and ECG signs of re-occlusion. The decision was made to transfer the patient to a catheterisation laboratory for further invasive treatment, however, it was located 200 km from our centre. Because of that, the patient received another dose of 50 mg of t-PA and abciximab before transportaion. Further course was uncomplicated and the patient underwent successful stent implantation in the other centre.



Polish Heart Journal (Kardiologia Polska)