Acute stroke and heart attack management within a four-hour time window.
OBJECTIVE
Although brain embolism is a uncommon complication of myocardial infarction, sequential treatment of cerebral and coronary artery occlusion within a 4-hour time window is unusual.


CONCLUSIONS
of case A 60 year-old man experienced successful intravenous recombinant thrombolysis (tPA) for acute middle cerebral artery (MCA) occlusion followed by efficient angioplasty stenting of a troponin-negative coronary occlusion which, while painless, involved clear electrocardiographic abnormalities. Both pathologies were treated within a 4-hour time window.


CONCLUSIONS
Acute brain and heart ischemia may be successfully treated within a 4-hour time window, thanks to an efficient multidisciplinary approach.
Ralea
I-C
IC
Cerebrovascular unit, University Claude Bernard, Lyon, France.
Rioufol
G
G
Cakmak
S
S
Derex
L
L
Nighoghossian
N
N
D000208:Acute Disease / Q000628:therapy; D000925:Anticoagulants / Q000627:therapeutic use; D048909:Diabetes Complications / Q000503:physiopathology; D004632:Emergency Medical Services / Q000379:methods*; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000188:drug therapy / Q000503:physiopathology; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000187:drug effects / Q000473:pathology; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015607:Stents; D020521:Stroke / Q000188:drug therapy* / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
D000925:Anticoagulants; D005343:Fibrinolytic Agents; D010975:Platelet Aggregation Inhibitors; D010959:Tissue Plasminogen Activator