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.