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Acute stroke with concomitant acute myocardial infarction: will you thrombolyse?

dc.contributor.authorMaciel, Rita
dc.contributor.authorPalma, Raquel
dc.contributor.authorSousa, Pedro
dc.contributor.authorFerreira, Fatima
dc.contributor.authorNzwalo, Hipólito
dc.date.accessioned2018-12-07T14:53:07Z
dc.date.available2018-12-07T14:53:07Z
dc.date.issued2015-01
dc.description.abstractConcomitant occurrence of acute myocardial infarction (MI) and stroke is infrequently encountered in emergent patients. Acute MI within the previous 3 months is considered a relative contraindication for therapy with alteplase or intravenous tissue plasminogen activator (IV rtPA).1 The use of IV rtPA for stroke in patients with a recent MI is associated with an increased risk of cardiac rupture, secondary to breakdown of the existing fibrin clot within the necrotic myocardium and/or degradation of collagen2 . Whether it is appropriate to perform thrombolysis in an emergent patient with concomitant ischemic stroke and MI remains a matter for debate.
dc.identifier.doi10.5853/jos.2015.17.1.84
dc.identifier.issn2287-6391
dc.identifier.issn2287-6405
dc.identifier.urihttp://hdl.handle.net/10400.1/11361
dc.language.isoeng
dc.peerreviewedyes
dc.publisherKorean Stroke Society
dc.subjectCardiac rupture
dc.subjectTherapy
dc.titleAcute stroke with concomitant acute myocardial infarction: will you thrombolyse?
dc.typeother
dspace.entity.typePublication
oaire.citation.endPage86
oaire.citation.issue1
oaire.citation.startPage84
oaire.citation.titleJournal of Stroke
oaire.citation.volume17
person.familyNameNzwalo
person.givenNameHipólito
person.identifier337064
person.identifier.ciencia-id2C1F-E4F3-2C79
person.identifier.orcid0000-0002-1502-3534
person.identifier.ridAAG-3931-2020
person.identifier.scopus-author-id36057285600
rcaap.rightsopenAccess
rcaap.typeother
relation.isAuthorOfPublication287f7d4e-5ad8-4794-b526-c61d32c00446
relation.isAuthorOfPublication.latestForDiscovery287f7d4e-5ad8-4794-b526-c61d32c00446

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