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Embolic Cerebral Infarction and Gastrointestinal Hemorrhage Following Thrombolytic Therapy for Acute Myocardial Infarction
Author(s) -
Chang Michael ChichKuang,
Lee Andrew YingSiu,
Chang WenFung,
Chen TienJen
Publication year - 2002
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1046/j.1540-8175.2002.00139.x
Subject(s) - medicine , myocardial infarction , thrombus , cardiology , embolization , infarction , cerebral infarction , tissue plasminogen activator , electrocardiography in myocardial infarction , radiology , ischemia
We report an unusual case of cerebral embolization that occurred after intravenous thrombolytic therapy for myocardial infarction. Direct observation by serial echocardiograms in this patient confirmed that the thrombolytic treatment induced lysis and fragmentation of thrombus, and the subsequent dislodging and embolization of preexisting cardiac thrombi, which caused the cerebral infarction. It is suggested that an echocardiogram, if instantly available, be performed before considering thrombolytic therapy whenever acute anterior wall myocardial infarction is impressed.