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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

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Published on: March 15, 2022

Interventionalists beware: the apical thrombus!

Sinjini Biswas¹, Andrew E Ajani

¹Department of Cardiology, Royal Melbourne Hospital, Parkville, VIC 3050, Australia. sinjini.biswas@mh.org.au

Cardiovascular Revascularization Medicine : Including Molecular Interventions

|November 26, 2011

Summary

This summary is machine-generated.

Recent myocardial infarction (MI) increases stroke risk. Intravenous thrombolysis, a stroke treatment, was safely administered to a patient with recent MI, challenging contraindications.

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Area of Science:

Cardiology
Neurology
Stroke Medicine

Background:

Recent myocardial infarction (MI) is a known risk factor for ischemic stroke.
Patients experiencing stroke during the peri-infarct period are often hospitalized, facilitating access to early cerebral reperfusion therapies.
However, recent MI is typically a contraindication for intravenous thrombolysis due to the risk of myocardial rupture.

Observation:

This case report details the successful use of intravenous thrombolysis in a patient who had an acute myocardial infarct within 48 hours.
The patient presented with acute ischemic stroke.

Findings:

Intravenous thrombolysis was administered safely and effectively in a patient with acute ischemic stroke and recent myocardial infarction.
This challenges the established contraindication for thrombolysis in this patient subgroup.

Implications:

The findings suggest that intravenous thrombolysis may be a viable treatment option for acute ischemic stroke in select patients with recent MI.
There is a need for evidence-based guidelines to manage stroke in patients with recent myocardial infarction.
Further research is warranted to establish the safety and efficacy of thrombolysis in this high-risk population.