Santos Nuno, Serrão Marco, Silva Bruno, Pereira Andreia, Faria Paula, Oliveira Rui, Caires Graça, Pereira Décio, Freitas Drumond, Araújo Jorge
Serviço de Cardiologia, Hospital Central do Funchal, Funchal, Portugal.
Rev Port Cardiol. 2009 Oct;28(10):1161-6.
Thrombolytic treatment in patients with acute ischemic stroke improves their clinical prognosis when administered within three hours of symptom onset. We report the case of a 57-year-old patient with a history of paroxysmal atrial fibrillation and hypertension who developed an anterior acute myocardial infarction after systemic thrombolytic treatment for acute ischemic stroke. Embolization of a pre-existing cardiac thrombus or in situ formation of a thrombus in a coronary artery has to be considered as a potential adverse effect of thrombolytic therapy in stroke patients.
急性缺血性卒中患者在症状发作后三小时内接受溶栓治疗可改善其临床预后。我们报告一例57岁患者，有阵发性心房颤动和高血压病史，在接受急性缺血性卒中全身溶栓治疗后发生前壁急性心肌梗死。既往心脏血栓栓塞或冠状动脉内原位血栓形成必须被视为卒中患者溶栓治疗的潜在不良反应。
