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Updated: Feb 25, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Thrombolysis: A Useful Tool in the Primary PCI Cupboard
Konstantin Schwarz1, Deepak Goyal, Helen Routledge
1Worcestershire Royal Hospital, Cardiology Department, Interventional Fellow, Worcester, WR05 1DD, United Kingdom. konstantin.schwarz@gmx.net.
Abstract:
A 44-year-old woman presented to the emergency department with central crushing chest pain and dynamic anterior ST elevation on a background of a known left bundle-branch block on her electrocardiogram. Past medical history included insulin-dependent diabetes, asthma, fibromyalgia, and a gradually failing kidney transplant. This case demonstrates the rarely utilized niche role for intracoronary thrombolysis in STEMI treatment in the modern angioplasty era.
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