# Alveolar hemorrhage following thrombolysis in STEMI: Two rare case reports and review of the literature

## TL;DR

This paper reports two rare cases of lung bleeding after a clot-busting treatment in heart attack patients and reviews related risk factors and management strategies.

## Contribution

The study contributes two unique case reports and a literature review on a rare complication of thrombolysis in STEMI patients.

## Key findings

- Two rare cases of alveolar hemorrhage following thrombolysis in STEMI patients were identified.
- A literature review was conducted to explore risk factors and pathophysiological mechanisms of this complication.

## Abstract

This retrospective study, conducted in the Cardiology-B department of Ibn Sina Hospital, Rabat, analyzed 44 patients and describes two rare cases of alveolar hemorrhage occurring after thrombolysis in patients diagnosed with ST-segment elevation myocardial infarction (STEMI).

While contributing to the development of a larger registry for this rare condition, these two unique cases from our institution are noteworthy in their own right. We also surveyed the current literature to identify risk factors for alveolar hemorrhage following thrombolysis in STEMI patients to understand the underlying pathophysiological mechanisms and propose an optimal management strategy.