We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Cholesterol Embolism: A Fatal Complication After Thrombolytic Therapy for Acute Myocardial Infarction

Ernesto Rivera-Manrique, MD; Antoni Castro-Salomó, MD; Antoni Azón-Masoliver, MD; Lluis Masana Marin, MD, PhD
Arch Intern Med. 1998;158(14):1575. doi:.
Text Size: A A A
Published online


Cholesterol embolism is a rare syndrome that usually occurs as a consequence of angiographic procedures, cardiovascular surgery, or anticoagulant therapy. Only 16 cases of the syndrome occurring after thrombolytic treatment of acute myocardial infarction have been reported in the English-language medical literature.

Schwartz  MWMcDonald  GB Cholesterol embolization syndrome: occurrence after intravenous streptokinase therapy for myocardial infarction. JAMA. 1987;2581934- 1935
Link to Article[[XSLOpenURL/10.1001/jama.1987.03400140096033]]
Pochmalicki  GFeldman  LMennier  PRougeot  CJan  F Cholesterol embolisation syndrome after thrombolytic therapy for myocardial infarction. Lancet. 1992;33958- 59
Link to Article[[XSLOpenURL/10.1016/0140-6736(92)90182-3]]
Blair  NPHayes  GW Perforation of the small bowel: a case report. Can J Surg. 1995;38281- 282
Wong  FKChan  SKIng  TSLi  CS Acute renal failure after streptokinase therapy in a patient with acute myocardial infarction. Am J Kidney Dis. 1995;26508- 510
Link to Article[[XSLOpenURL/10.1016/0272-6386(95)90498-0]]
Queen  MBiem  HJMoe  OWSugar  L Development of cholesterol embolization syndrome after intravenous streptokinase for acute myocardial infarction. Am J Cardiol. 1990;651042- 1043
Link to Article[[XSLOpenURL/10.1016/0002-9149(90)91014-W]]

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Make the Diagnosis: Myocardial Infarction

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Is This Patient Having a Myocardial Infarction?