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Correspondence
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Volume 357:1448-1449 October 4, 2007 Number 14
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Retro-Orbital Hemorrhage after Thrombolysis for Acute Myocardial Infarction

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To the Editor: Thrombolytic therapy continues to be an effective treatment for acute myocardial infarction when emergency coronary angioplasty is not available.1,2 We describe a spontaneous retro-orbital hemorrhage after thrombolysis for acute myocardial infarction in a patient with no history of surgery or trauma.

A 44-year-old, previously healthy man presented with an acute ST-segment myocardial infarction. He received 10 units of reteplase followed by a second 10-unit bolus. After treatment, the electrocardiographic findings returned to baseline, and his chest pain resolved.

Two hours later, atrial fibrillation developed, and an infusion of amiodarone was started. The patient then went into ventricular . . . [Full Text of this Article]



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