title: Management of recurrent cerebral arterial occlusion in a patient with cardiac decompensation.
abstract: We describe a woman with congestive heart failure who presented with acute cardiac decompensation followed by ischemic stroke. The management of the patient posed unique challenges for thrombolytic treatment (due to existing coagulopathy) and subsequent optimization of hemodynamic status. Issues related to rethrombosis and use of platelet glycoprotein IIB/IIIA inhibitors are also discussed.
authors.affiliation: Zeenat Qureshi Stroke Research Center, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey (UMDNJ), 90 Bergen Street, DOC - 8100, Newark, NJ 07103, USA. ammarkawi@hotmail.com
authors.forename: Ammar
authors.initials: A
authors.lastname: AlKawi
authors.forename: Jawad F
authors.initials: JF
authors.lastname: Kirmani
authors.forename: Janjua N
authors.initials: JN
authors.lastname: Nazli
authors.forename: Mustapha A
authors.initials: MA
authors.lastname: Ezzeddine
authors.forename: Daniel F
authors.initials: DF
authors.lastname: Hanley
authors.forename: Adnan I
authors.initials: AI
authors.lastname: Qureshi
mesh_terms: D017130:Angioplasty; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006333:Heart Failure / Q000150:complications* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000037:antagonists & inhibitors; D012008:Recurrence; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000379:methods
chemical_list: D005343:Fibrinolytic Agents; D019039:Platelet Glycoprotein GPIIb-IIIa Complex