J Korean Neurol Assoc.
2014 Nov;32(4):301-303. 10.0000/jkna.2014.32.4.301.
ST-Elevation Myocardial Infarction after Intravenous Thrombolysis Treatment for Acute Ischemic Stroke
- Affiliations
-
- 1Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- 2Department of Neurologya, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea. lys@brmh.org
- KMID: 2343559
- DOI: http://doi.org/10.0000/jkna.2014.32.4.301
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.
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