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Massive pulmonary haemorrhage complicating the treatment of acute coronary syndrome
  1. D S Gill,
  2. K Ng,
  3. K-S Ng
  1. Department of Cardiology, The Heart Institute, Tan Tock Seng Hospital, Singapore
  1. Correspondence to:
    Dr D Gill
    Department of Cardiology, The Heart Institute, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433; dal3hotmail.com

Abstract

Antiplatelet medications such as clopidogrel and tirofiban (glycoprotien IIb/IIIa inhibitors) are associated with a reduction in mortality and morbidity and are therefore recommended in the treatment of acute coronary syndromes. Massive pulmonary haemorrhage is a rare complication of both clopidogrel and tirofiban. Pulmonary haemorrhage may easily be mistaken for acute pulmonary oedema, a condition commonly seen in patients with acute coronary syndrome. Physicians need to be aware of this diagnostic dilemma because early treatment increases the chances of patient survival.

  • pulmonary haemorrhage
  • acute coronary syndrome
  • clopidogrel
  • tirofiban

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