Cerebral Infarction Caused by Thrombolytic Therapy for Acute Myocardial Infarction a Case Report and Literature Review

Background: Thrombolytic therapy is one of the effective treatments for ST-segment elevation myocardial infarction. The most common complication of thrombolytic therapy is hemorrhage. Thromboembolism caused by thrombolytic therapy is exceedingly rare in clinical practice. However, we report a case of cerebral infarction caused by thrombolytic therapy for acute myocardial infarction. Case Report: A 70-year-old man complained of burning sensation under the xiphoid process for 7 years and sudden chest pain for 3 hours. He was diagnosed with acute anterior ST-segment elevation myocardial infarction. Thrombolytic therapy was carried out immediately, but the patient developed cerebral infarction 3 hours after thrombolysis. CONCLUSION: The common complication of thrombolytic therapy is cerebral hemorrhage or gastrointestinal hemorrhage, but the possibility of cerebral infarction should also be taken into account when patients have neurological symptoms.

Download Full-text

Acute ST-Segment Elevation Myocardial Infarction Associated With Diclofenac-Induced Anaphylaxis: Case Report

American Journal of Critical Care ◽

10.4037/ajcc2009100 ◽

2009 ◽

Vol 18 (4) ◽

pp. 388-386 ◽

Cited By ~ 6

Author(s):

J. W. B. de Groot ◽

A. T. M. Gosselink ◽

J. P. Ottervanger

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Case Report ◽

Coronary Stenosis ◽

Temporal Relationship ◽

Rare Complication ◽

Kounis Syndrome ◽

St Segment Elevation ◽

Segment Elevation Myocardial Infarction ◽

St Segment

A patient in whom acute myocardial infarction developed during diclofenac-induced anaphylaxis is described. ST-segment elevation myocardial infarction is a rare complication of anaphylactic reactions, but can occur even in patients with angiographically normal coronary arteries. Physicians should be aware of such a complication in order to diagnose it early and treat it properly. In the patient described here, according to the temporal relationship with diclofenac intake and the exclusion of coronary stenosis, it is probable that diclofenac caused the symptoms. To our knowledge, this is the first reported case of Kounis syndrome due to diclofenac. The patient’s recovery was uneventful.

Download Full-text

Application Effect of Intelligent Monitoring of Emergency Nursing Process Reengineering in the Thrombolytic Therapy of Acute Myocardial Infarction

Contrast Media & Molecular Imaging ◽

10.1155/2021/3043289 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Xueqing Liu ◽

Sufang Huang ◽

Jing Cheng ◽

Ying Zhang

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Thrombolytic Therapy ◽

First Aid ◽

Emergency Nursing ◽

Nursing Process ◽

St Segment Elevation ◽

Segment Elevation Myocardial Infarction ◽

St Segment ◽

Flow Group

The application of emergency nursing process in intravenous thrombolytic therapy for patients with acute myocardial infarction was discussed. 100 patients with ST segment elevation myocardial infarction who met the inclusion and exclusion criteria were selected for intravenous thrombolysis. 50 patients with ST segment elevation myocardial infarction were treated from December 2018 to June 2019. The first-aid time and treatment effect of the two groups were compared. The results showed that the first aid time in the optimized process group was less than that in the conventional flow group ( P < 0.05 ); the ECG rate was higher within 10 min than that in the conventional flow group ( P < 0.05 ). It indicates that standardized and meticulous nursing procedures can avoid repetition and omissions and improve work efficiency. The application of the emergency care process in the emergency care of patients with acute myocardial infarction can win more rescue time and then improve the success rate of their rescue.

Download Full-text

Stent Embolization Mimicking Acute Myocardial Infarction

Journal of Investigative Medicine High Impact Case Reports ◽

10.1177/23247096211036537 ◽

2021 ◽

Vol 9 ◽

pp. 232470962110365

Author(s):

Syed Arqum Huda ◽

Sara Akram Kahlown ◽

Anojan Pathmanathan ◽

Muhammad Saad Farooqi ◽

Mark Charlamb

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Stent Migration ◽

Safe Procedure ◽

Significant Morbidity ◽

Fatal Complication ◽

St Segment Elevation ◽

Segment Elevation Myocardial Infarction ◽

St Segment ◽

Venous Stents

Venous thromboembolism is associated with significant morbidity and mortality if left untreated. Anticoagulation is the cornerstone of treatment. Venous stents are a relatively newer entity that are increasingly being used to treat venous stenosis/occlusion. It is a safe procedure, but complications include vein rupture, arterial puncture, retroperitoneal bleeding, and in-stent thrombosis. Stent migration is a rare but potentially fatal complication. We present a case of venous stent embolization to the heart that presented as a non-ST segment elevation myocardial infarction.

Download Full-text