Case 18

Sarah T Pendlebury, Philip Anslow and Peter M Rothwell

in Neurological Case Histories

Published on behalf of Oxford University Press

Published in print February 2007 | ISBN: 9780192631626
Published online November 2012 | e-ISBN: 9780191753121 | DOI:

Series: Oxford Case Histories

Case 18

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A 63-year-old man presented with central crushing chest pain and was given thrombolysis for inferior myocardial infarction. He was not on any medication prior to admission, and aspirin, simvastatin, ramipril, spironolactone, carvedilol, and frusemide were started. There was a family history of premature coronary vascular disease. Three days following admission, he had a further myocardial infarct and received thrombolysis with tPA, after which he had a brief cardiac arrest followed by cardiogenic shock requiring dobutamine ionotropic support. Cardiac catheterization showed triple vessel disease requiring future cardiac bypass surgery.

Chapter.  2240 words. 

Subjects: Neurology

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