ST-Elevation Myocardial Infarction after Intravenous Thrombolysis Treatment for Acute Ischemic Stroke.
- Author:
Jee Young HAN
1
;
Jae Sung LIM
;
Sung Eun HWANG
;
Yong Seok LEE
Author Information
1. Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Acute ischemic stroke;
Intravenous tissue plasminogen activator;
Acute myocardial infarction
- MeSH:
Arteries;
Coronary Angiography;
Humans;
Infarction;
Middle Aged;
Middle Cerebral Artery;
Myocardial Infarction*;
Stroke*;
Tissue Plasminogen Activator
- From:Journal of the Korean Neurological Association
2014;32(4):301-303
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intravenous tissue plasminogen activator (IV-tPA) is the standard treatment for acute ischemic stroke. Acute myocardial infarction (AMI) as a complication of IV-tPA therapy is rarely reported. A 56-year-old man was diagnosed with the left middle cerebral artery territory infarction. IV-tPA was administered, and AMI developed 2-hours thereafter. Coronary angiography demonstrated occlusion of the left anterior descending artery and; immediate recanalization was perfomed. The patient recovered without neurological sequelae. We report herein an unusual case of AMI that developed following IV-t-PA therapy for acute ischemic stroke.
