title: Acute myocardial infarction after thrombolytic treatment of acute ischemic stroke.
abstract: 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.
authors.affiliation: Serviço de Cardiologia, Hospital Central do Funchal, Funchal, Portugal. nuno_mmsantos@yahoo.com
authors.forename: Nuno
authors.initials: N
authors.lastname: Santos
authors.forename: Marco
authors.initials: M
authors.lastname: Serrão
authors.forename: Bruno
authors.initials: B
authors.lastname: Silva
authors.forename: Andreia
authors.initials: A
authors.lastname: Pereira
authors.forename: Paula
authors.initials: P
authors.lastname: Faria
authors.forename: Rui
authors.initials: R
authors.lastname: Oliveira
authors.forename: Graça
authors.initials: G
authors.lastname: Caires
authors.forename: Décio
authors.initials: D
authors.lastname: Pereira
authors.forename: Drumond
authors.initials: D
authors.lastname: Freitas
authors.forename: Jorge
authors.initials: J
authors.lastname: Araújo
mesh_terms: 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*