Concurrent stroke and ST-elevation myocardial infarction: Is it a contraindication for intravenous tenecteplase?

Author: Wan Asyraf Wan Zaidi ¹ ; Suguna Elengoe ¹ ; Hamat Hamdi Che Hassan ² ; Afliza Abu Bakar ³ ; Rabani Remli ¹
Author Information

1. Neurology unit, Medical Department, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
2. 2 Cardiology unit, Medical Department, Pusat Perubatan Universiti Kebangsaan Malaysia
3. Emergency department, Pusat Perubatan Universiti Kebangsaan Malaysia
Publication Type:Case Reports
From: The Medical Journal of Malaysia 2020;75(2):169-170
CountryMalaysia
Language:English
Abstract: Acute ischemic stroke (AIS) and acute ST-elevation myocardial infarction (STEMI) are leading causes of mortality worldwide. Concurrent AIS presentation with STEMI is rare and potentially fatal. Most importantly to date many centres in Malaysia are still not aware on how to treat this condition. We report a case of AIS, which was treated with intravenous tenecteplase (TNK) according to ischemic stroke dosage and lead to improvement of neurological deficit.