Optimal treatment modality for coexisting acute myocardial infarction and ischemic stroke

GÜNGÖREN F., BEŞLİ F., TANRIVERDİ Z., Kocaturk O.

AMERICAN JOURNAL OF EMERGENCY MEDICINE, vol.37, no.4, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 37 Issue: 4
  • Publication Date: 2019
  • Doi Number: 10.1016/j.ajem.2018.12.060
  • Journal Name: AMERICAN JOURNAL OF EMERGENCY MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: Acute ST-segment elevation myocardial infarction, Acute ischemic stroke, Thrombolytic therapy
  • Dokuz Eylül University Affiliated: No

Abstract

The simultaneous occurrence of acute ST-segment elevation myocardial infarction and acute ischemic stroke is an uncommon and complex clinical presentation. Although the medical treatment of both diseases is similar, data regarding optimal reperfusion therapy are limited. Nevertheless, use of tissue plasminogen activator may be a reasonable strategy for treatment of both diseases. We present a rare case of coexisting thrombosis of the coronary artery and mid cerebral artery that was managed successfully with tissue plasminogen activator thrombolytic therapy. (C) 2018 Elsevier Inc. All rights reserved.