Confirm diagnosis before giving thrombolytic treatment

doi:10.1136/bmj.308.6937.1159d

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N Milliet,
C Diem,
K Hayoz,
F Sadry,
E Herrera,
V Phillips

Hospital Cantonal, 1708 Fribourg, Switzerland.

EDITOR,--The British Heart Foundation has produced guidelines for the early management of patients with acute myocardial infarction, emphasising the importance of reducing the “call to needle time.”1 We agree with these recommendations, but believe that the diagnosis of acute myocardial infarction should be as certain as possible before thrombolysis can be given safely. We report an unusual complication after thrombolysis was given to a patient in whom the diagnosis was wrong.

A 34 year …