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Cardiac tamponade following inadvertent thrombolysis in acute pericarditis
  1. Rajesh Gopalan Nair,
  2. Sandeep Rajasekharan,
  3. Mangalath Narayanan Krishnan
  1. Department of Cardiology, Government Medical College, Kozhikode, Kerala, India
  1. Correspondence to Dr Sandeep R, Department of Cardiology, Government Medical College, Kozhikode, Kerala 673008, India; sandeepdr1981{at}

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A 41-year-old smoker presented with acute retrosternal chest pain of 5h duration. He had mild fever 1 week prior to admission. The ECG was interpreted as acute ST-segment elevation anterior wall myocardial infarction. Intravenous streptokinase was administered; 2h after thrombolysis, he developed breathlessness and worsening chest pain. On examination, he had tachypnoea, sinus tachycardia, blood pressure …

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