Low Back Pain During Streptokinase Infusion

Pinheiro, Ronald Feitosa; Pedrolo, Adriana Sanches; Nigri, Marcelo; Carvalho, Antônio Carlos

doi:10.1590/s0066-782x2002000200012

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2012

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“…A symptom such as this one is described associated with an ACS in other case report. Low-back pain has been presented during streptokinase infusion administered to treat typical chest pain and elevation of ST segment in the inferior wall [ 3 ]. In this interpretative key such a symptom is not so much the result of a full-blown ischemic disease, but rather of its treatment.…”

Section: Discussionmentioning

confidence: 99%

Atypical Presentation of Acute Coronary Syndrome-Not ST Elevation: A Case Report

Vitulano

Riccioni²,

Trivisano³

et al. 2012

Case Reports in Medicine

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We describe the unexpected case of a 70-year-old man, with medical history of ischemic heart disease and surgery for aneurysm of abdominal aorta, who comes to the emergency department complaining of low-back pain without other symptoms or signs of organic failure. After a few hours we see a deterioration of physical conditions with pulmonary oedema, increase of blood pressure, changing in the ECG pattern, and worsening of left ventricular function with progressive increase of biomarkers for myocardial necrosis. So this pain has revealed the premature symptom of an acute coronary syndrome (ACS). After a short time a subsequent cardiac arrest complicates the clinical situation. After resuscitation, the patient undergoes successfully to coronary angiography and performed a percutaneous transluminal coronary angioplasty (PTCA).

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Section: Discussionmentioning

confidence: 99%