Acute myocardial infarction after thrombolytic treatment of acute ischemic stroke.
Thrombolytic treatment in patients with acute ischemic stroke improves their clinical prognosis when administered within three hours of symptom onset. We report the case of a 57-year-old patient with a history of paroxysmal atrial fibrillation and hypertension who developed an anterior acute myocardial infarction after systemic thrombolytic treatment for acute ischemic stroke. Embolization of a pre-existing cardiac thrombus or in situ formation of a thrombus in a coronary artery has to be considered as a potential adverse effect of thrombolytic therapy in stroke patients.
Santos
Nuno
N
Serviço de Cardiologia, Hospital Central do Funchal, Funchal, Portugal. nuno_mmsantos@yahoo.com
Serrão
Marco
M
Silva
Bruno
B
Pereira
Andreia
A
Faria
Paula
P
Oliveira
Rui
R
Caires
Graça
G
Pereira
Décio
D
Freitas
Drumond
D
Araújo
Jorge
J
D002545:Brain Ischemia / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced*; D020521:Stroke / Q000188:drug therapy / Q000209:etiology; D015912:Thrombolytic Therapy / Q000009:adverse effects*