Myocardial Infarction Following Intravenous Thrombolysis for Acute Ischemic Stroke: Case Report and Literature Review

Embolic complications of intravenous thrombolysis for acute ischemic stroke are increasingly recognized, and to date several cases of myocardial infarction soon after the administration of alteplase have been reported. We describe a case of early anterior myocardial infarction during intravenous thr...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2017-06, Vol.26 (6), p.e105-e107
Main Authors: Mannino, Marina, MD, Asciutto, Salvatore, MD, Terruso, Valeria, MD, Gammino, Matilde, MD, Cellura, Melchiorre Gilberto, MD, Monaco, Serena, MD
Format: Article
Language:English
Subjects:
Acute ischemic stroke
Aged
Anterior Wall Myocardial Infarction - chemically induced
Anterior Wall Myocardial Infarction - diagnostic imaging
Anterior Wall Myocardial Infarction - therapy
Brain Ischemia - diagnostic imaging
Brain Ischemia - drug therapy
Cardiovascular
Embolism - chemically induced
Embolism - diagnostic imaging
Embolism - therapy
Fatal Outcome
Female
Fibrinolytic Agents - administration & dosage
Fibrinolytic Agents - adverse effects
Humans
Infusions, Intravenous
intravenous thrombolysis
myocardial infarction
Neurology
Stroke - diagnostic imaging
Stroke - drug therapy
t-PA
Thrombolytic Therapy - adverse effects
Tissue Plasminogen Activator - administration & dosage
Tissue Plasminogen Activator - adverse effects
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Description
Summary:Embolic complications of intravenous thrombolysis for acute ischemic stroke are increasingly recognized, and to date several cases of myocardial infarction soon after the administration of alteplase have been reported. We describe a case of early anterior myocardial infarction during intravenous thrombolysis for stroke and review the current literature.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2017.02.039