Early ST-segment elevation acute myocardial infarction after thrombolytic therapy for acute ischemic stroke: A case report
We report a case of STEMI occurring 40 minutes after thrombolytic therapy for AIS and discuss the possible mechanisms and therapeutic approaches.
Patient concerns:
A 87-year-old woman with a history of arterial hypertension was admitted for acute onset of right-sided limb weakness 2 hours before arrival at the emergency department. Forty minutes after intravenous recombinant tissue plasminogen activator (i.v. rtPA) administration for AIS, STEMI occurred (signaled by a third-degree atrioventricular block).
Diagnoses:
The diagnoses were AIS and STEMI. Coronary angiography confirmed right coronary artery occlusion.
Interventions:
Four hours after the onset of STEMI, stenting was performed, normalizing the coronary blood flow.
Outcomes:
The patient died 2 days thereafter because of persistent cardiogenic shock.
Lessons:
Our case is remarkable owing to the unusually early (
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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