ST-Elevation Myocardial Infarction after Intravenous Thrombolysis
Treatment for Acute Ischemic Stroke

J Korean Neurol Assoc > Volume 32(4); 2014 > Article

Journal of the Korean Neurological Association 2014;32(4): 301-303.

급성 허혈 뇌졸중 환자에서 정맥 내 혈전용해술 시행 후 발생한 ST-분절 상승 급성 심근경색

한지영, 임재성 a 황성은 이용석 a

서울대학교 의과대학 서울대학교병원 신경과, 서울특별시 보라매병원 신경과 a

ST-Elevation Myocardial Infarction after Intravenous Thrombolysis Treatment for Acute Ischemic Stroke

Jee-Young Han

Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Neurology a , Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University

Abstract

Intravenous tissue plasminogen activator (IV-tPA) is the standard treatment for acute ischemic stroke. Acute myocardial infarction (AMI) as a complication of IV-tPA therapy is rarely reported. A 56-year-old man was diagnosed with the left middle cerebral artery territory infarction. IV-tPA was administered, and AMI developed 2-hours thereafter. Coronary angiography 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 following IV-t-PA therapy for acute ischemic stroke. Key Words: Acute ischemic stroke, Intravenous tissue plasminogen activator, Acute myocardial infarction