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Updated: May 6, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
ST-segment elevation myocardial infarction treated with thrombolytic therapy in a patient with thrombotic
1Duke University Medical Center, 2301 Erwin Road, DUMC 3845, Durham, NC, 27710, USA, jacob.doll@duke.edu.
Abstract:
Acute myocardial infarction is a common complication of thrombotic thrombocytopenic purpura (TTP), but rarely the presenting manifestation. Anti-thrombotic therapy for myocardial infarction is rarely utilized in the setting of TTP because of elevated bleeding risk. We report a case of TTP presenting with ST-segment elevation myocardial infarction and treated with thrombolytic therapy. The resultant cardiac and neurological complications highlight the challenges of using evidence-based therapy for myocardial infarction in the setting of TTP.
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