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Case Report

Does Intravenous Administration of Recombinant Tissue Plasminogen Activator for Ischemic Stroke can Cause Inferior Myocardial Infarction?

Department of Neurology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
*
Author to whom correspondence should be addressed.
Neurol. Int. 2016, 8(2), 6617; https://doi.org/10.4081/ni.2016.6617
Submission received: 22 May 2016 / Revised: 22 May 2016 / Accepted: 30 May 2016 / Published: 29 June 2016

Abstract

Recombinant tissue plasminogen activator (rTPA) is one of the main portions of acute ischemic stroke management, but unfortunately has some complications. Myocardial infarction (MI) is a hazardous complication of administration of intravenous rTPA that has been reported recently. A 78-year-old lady was admitted for elective coronary artery bypass graft surgery. On the second day of admission, she developed acute left hemiparesis and intravenous rTPA was administered within 120 minutes. Three hours later, she has had chest pain. Rescue percutaneous coronary intervention was performed on right coronary artery due to diagnosis of inferior MI, and the symptoms were resolved.
Keywords: Recombinant tissue plasminogen activator; Myocardial infarction; Acute ischemic stroke Recombinant tissue plasminogen activator; Myocardial infarction; Acute ischemic stroke

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MDPI and ACS Style

Almasi, M.; Razmeh, S.; Habibi, A.H.; Rezaee, A.H. Does Intravenous Administration of Recombinant Tissue Plasminogen Activator for Ischemic Stroke can Cause Inferior Myocardial Infarction? Neurol. Int. 2016, 8, 6617. https://doi.org/10.4081/ni.2016.6617

AMA Style

Almasi M, Razmeh S, Habibi AH, Rezaee AH. Does Intravenous Administration of Recombinant Tissue Plasminogen Activator for Ischemic Stroke can Cause Inferior Myocardial Infarction? Neurology International. 2016; 8(2):6617. https://doi.org/10.4081/ni.2016.6617

Chicago/Turabian Style

Almasi, Mostafa, Saeed Razmeh, Amir Hassan Habibi, and Amir Hassan Rezaee. 2016. "Does Intravenous Administration of Recombinant Tissue Plasminogen Activator for Ischemic Stroke can Cause Inferior Myocardial Infarction?" Neurology International 8, no. 2: 6617. https://doi.org/10.4081/ni.2016.6617

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