Medicina Crítica

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Medicina Crítica >Year 1999, Issue 5

Blas MJ, Nava MS
Acute pancreatitis following thrombolytic therapy for acute myocardial infarction
Rev Asoc Mex Med Crit y Ter Int 1999; 13 (5)

Language: Español
References: 18
Page: 169-171
PDF: 71.71 Kb.

Full text


Objective: To report a case of acute pancreatitis following thrombolytic therapy for acute myocardial infarction (AMI).
Design: Case report.
Setting: ICU of second level hospital of Durango City, Mexico.
Patient: An AMI 52-yr-old man.
Interventions: Thrombolytic therapy (IV streptokinase).
Measurements and main results: Continuous ECG monitoring was made. On 6th hour hospital stay he had abdominal pain, hyperamylasemia (1150 U) and an ultrasound study revealed pancreas swelling. The treatment consisted in nasogastric suction and IV fluids. The course of illness was satisfactory and eight days later he was discharged to home.
Conclusion: Acute pancreatitis is an unusual complication of thrombolytic therapy.

Key words: Acute pancreatitis, thrombolytic therapy, acute myocardial infarction.


  1. Rogers WJ. Contemporary management of acute myocardial infarction. Am J Med 1995;99:195-206.

  2. Young GP, Hoffman JR. Thrombolytic therapy. Emerg Med Clin 1995;13:735-759.

  3. Aylward P. The current status of thombolytic therapy. Aust NZJ Med 1997;27(4):501-503.

  4. Samama M, Acar J. Thrombolytic therapy: Future issues. Thromb-Haemost 1995;74(1):106-110.

  5. Aiuto LT, Barone SR, Cohen PS et al. Recombinant tissue plasminogen activator restores perfusion in meningococcal purpura fulminants. Crit Care Med 1997;25:1079-1082.

  6. Markel A, Manzo RA, Strandess EJR. The potential role of thrombolytic therapy in venous thrombosis. Arch Intern Med 1992;152:1265-1267.

  7. Zafra Sanchez, De Mora Martin. Epidural spinal hematoma following thrombolytic therapy for an acute myocardial infarct. Rev Esp Cardiol 1997;50(6):448-450.

  8. Haviv YS, Nair M, Pikarski A, Shiloni E, Safadi R. A late retroperitoneal hematoma mimicking acute appendicitis, an anusual complication of coronary angioplasty. Eur J Med Res 1996;25.1(12):591-592.

  9. Srinivasan G, Boschman C, Rothsi, Hendel RC. Unsuspected Vasculitis an Intracranial Hemorrhage following thombolysis. Clin Cardiol 1997;20(1):84-86.

  10. Gopalakrihnan D, Tiroran T, Emanuel C, Clark VL. Diffuse pulmonary hemorrhage complication thrombolytic therapy for acute myocardial infarction. Clin Cardiol 1997; 20 (3): 298-300.

  11. Tiffany P, Shultz M, Stueven H. Bolus thrombolytic infusions during CPR for patients with refractory arrest rhythms: Outcome of a case series. Ann Emerg Med 1998;31(1):124-126.

  12. Shamama’a MH, Rubeiz GA. Acute pancreatitits with ECG findings of myocardial infarction. Am J Med 1962;32:827-30.

  13. Ryan TE, Pak PH, De Sanctis RW. Myocardial infarction mimicked by acute cholecystitis. Ann Intern Med 1992;116:218-20.

  14. Mosseri M, Eliakim R, Mogle P. Perforation of the oesophagus eletrocardiographically mimicking myocardial infarction. Isr J Med Sci 1986;22:451-54.

  15. Fredler F, Croissant U, Rehbein C et al. Acute-phase response of the rat pancreas protects against further agression with severe necrotizing pancreatitis. Crit Care Med 1998; 26: 887-894.

  16. Weaver D. Pancreatitis Aguda. En: Tintinalli EJ, Ruiz E, Frowe LR, eds. Medicina de urgencias 4a ed. México: Mc Graw Hill; 1997: 619-621.

  17. Ranson HJ. Pancreatitis. In: Society of Critical Care Medicine ed. Critical Care State of the Art 1993;14:375-390

  18. Fernández del Castillo C, Harringer W, Warshaw AL et al. Risk factors for pancreatitis cellular injury cardiopulmonary bypass. N Engl J Med 1991;325:382-387.

>Journals >Medicina Crítica >Year 1999, Issue 5

· Journal Index 
· Links 

Copyright 2019