Korean Journal of Sport Science

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J Korean Neurol Assoc. 2014;32(4):301-303.
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
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
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

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