급성 허혈 뇌졸중 환자에서 정맥 내 혈전용해술 시행 후 발생한 ST-분절 상승 급성 심근경색
ST-Elevation Myocardial Infarction after Intravenous Thrombolysis Treatment for Acute Ischemic Stroke
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초록
Intravenous tissue plasminogen activator (IV-tPA) is the standard treatment for acute ischemic stroke. Acute myocardialinfarction (AMI) as a complication of IV-tPA therapy is rarely reported. A 56-year-old man was diagnosed with the leftmiddle cerebral artery territory infarction. IV-tPA was administered, and AMI developed 2-hours thereafter. Coronaryangiography demonstrated occlusion of the left anterior descending artery and; immediate recanalization was perfomed. The patient recovered without neurological sequelae. We report herein an unusual case of AMI that developed followingIV-t-PA therapy for acute ischemic stroke.
Abstract
Intravenous tissue plasminogen activator (IV-tPA) is the standard treatment for acute ischemic stroke. Acute myocardialinfarction (AMI) as a complication of IV-tPA therapy is rarely reported. A 56-year-old man was diagnosed with the leftmiddle cerebral artery territory infarction. IV-tPA was administered, and AMI developed 2-hours thereafter. Coronaryangiography demonstrated occlusion of the left anterior descending artery and; immediate recanalization was perfomed. The patient recovered without neurological sequelae. We report herein an unusual case of AMI that developed followingIV-t-PA therapy for acute ischemic stroke.
참고문헌 (10)
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