Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2009
Acute stroke and heart attack management within a four-hour time window.
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Ralea I-C, Rioufol G, Cakmak S, Derex L, Nighoghossian N
Аннотация
BACKGROUND AND PURPOSE: Although brain embolism is a uncommon complication of myocardial infarction, sequential treatment of cerebral and coronary artery occlusion within a 4-hour time window is unusual.
SUMMARY: of case A 60 year-old man experienced successful intravenous recombinant thrombolysis (tPA) for acute middle cerebral artery (MCA) occlusion followed by efficient angioplasty stenting of a troponin-negative coronary occlusion which, while painless, involved clear electrocardiographic abnormalities. Both pathologies were treated within a 4-hour time window.
CONCLUSION: Acute brain and heart ischemia may be successfully treated within a 4-hour time window, thanks to an efficient multidisciplinary approach.
SUMMARY: of case A 60 year-old man experienced successful intravenous recombinant thrombolysis (tPA) for acute middle cerebral artery (MCA) occlusion followed by efficient angioplasty stenting of a troponin-negative coronary occlusion which, while painless, involved clear electrocardiographic abnormalities. Both pathologies were treated within a 4-hour time window.
CONCLUSION: Acute brain and heart ischemia may be successfully treated within a 4-hour time window, thanks to an efficient multidisciplinary approach.
Предметные рубрики MeSH
Acute DiseaseAnticoagulantsDiabetes ComplicationsEmergency Medical ServicesFibrinolytic AgentsHumansInfarction, Middle Cerebral ArteryMagnetic Resonance AngiographyMaleMiddle AgedMiddle Cerebral ArteryMyocardial InfarctionPlatelet Aggregation InhibitorsStentsStrokeTime FactorsTissue Plasminogen ActivatorTomography, X-Ray ComputedTreatment OutcomeVascular Surgical Procedures