Alveolar Hemorrhage Following Thrombolytic Therapy for Acute Myocardial Infarction: Two Case Reports and Literature Review.
Imtinene Ben MradBen Mrad MelekZeineb OumayaIhsen ZairiBoutheina BesbesKhalil OuaghlaniSofien KamounSobhi MleyhiRim MiriKhadija MzoughiSondos KraiemPublished in: Open access emergency medicine : OAEM (2021)
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.
Keyphrases
- acute myocardial infarction
- respiratory failure
- case report
- pulmonary embolism
- percutaneous coronary intervention
- risk factors
- systematic review
- extracorporeal membrane oxygenation
- acute ischemic stroke
- mechanical ventilation
- left ventricular
- liver failure
- drug induced
- acute respiratory distress syndrome
- atrial fibrillation
- aortic dissection
- magnetic resonance
- high dose
- acute coronary syndrome
- coronary artery disease
- computed tomography
- randomized controlled trial
- magnetic resonance imaging
- hepatitis b virus
- combination therapy