Embolic cerebral infarction and gastrointestinal hemorrhage following thrombolytic therapy for acute myocardial infarction

被引：14
作者：
Chang, MCK [1 ]
Lee, AYS [1 ]
Chang, WF [1 ]
Chen, TJ [1 ]
机构：
[1] Jen Ai Hosp, Div Cardiol, Taichung, Taiwan
来源：
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 2002年 / 19卷 / 02期
关键词：
cerebral infarction; thrombolytic therapy; echocardiogram;
D O I：
10.1046/j.1540-8175.2002.00139.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
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收藏
页码：139 / 141
页数：3
相关论文
共 10 条
[1]   INCIDENCE OF LEFT-VENTRICULAR THROMBOSIS AFTER ACUTE TRANSMURAL MYOCARDIAL-INFARCTION - SERIAL EVALUATION BY TWO-DIMENSIONAL ECHOCARDIOGRAPHY [J].
ASINGER, RW ;
MIKELL, FL ;
ELSPERGER, J ;
HODGES, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 305 (06) :297-302
[2]   EMBOLIC STROKE FOLLOWING THROMBOLYTIC THERAPY FOR MYOCARDIAL-INFARCTION IN A PATIENT WITH PREEXISTING VENTRICULAR THROMBI [J].
BAUTISTA, RED .
STROKE, 1995, 26 (02) :324-325
[3]   PLASMINOGEN-ACTIVATOR AND CEREBRAL INFARCTION [J].
CRANSTON, RE ;
WOLFSON, MA ;
BUCHSBAUM, HW ;
FEINBERG, WM ;
BARREUTHER, A .
ANNALS OF INTERNAL MEDICINE, 1988, 108 (05) :766-766
[4]   INTRACEREBRAL HEMORRHAGE, CEREBRAL INFARCTION, AND SUBDURAL-HEMATOMA AFTER ACUTE MYOCARDIAL-INFARCTION AND THROMBOLYTIC THERAPY IN THE THROMBOLYSIS IN MYOCARDIAL-INFARCTION STUDY - THROMBOLYSIS IN MYOCARDIAL-INFARCTION, PHASE-II, PILOT AND CLINICAL-TRIAL [J].
GORE, JM ;
SLOAN, M ;
PRICE, TR ;
RANDALL, AMY ;
BOVILL, E ;
COLLEN, D ;
FORMAN, S ;
KNATTERUD, GL ;
SOPKO, G ;
TERRIN, ML .
CIRCULATION, 1991, 83 (02) :448-459
[5]  
KASE CS, 1990, NEUROLOGY S, V49, P18
[6]   MURAL THROMBI IN MYOCARDIAL INFARCTIONS - PROSPECTIVE EVALUATION BY TWO-DIMENSIONAL ECHOCARDIOGRAPHY [J].
KEATING, EC ;
GROSS, SA ;
SCHLAMOWITZ, RA ;
GLASSMAN, J ;
MAZUR, JH ;
PITT, WA ;
MILLER, D .
AMERICAN JOURNAL OF MEDICINE, 1983, 74 (06) :989-995
[7]   NATURAL-HISTORY OF LEFT-VENTRICULAR THROMBI - THEIR APPEARANCE AND RESOLUTION IN THE POSTHOSPITALIZATION PERIOD OF ACUTE MYOCARDIAL-INFARCTION [J].
KEREN, A ;
GOLDBERG, S ;
GOTTLIEB, S ;
KLEIN, J ;
SCHUGER, C ;
MEDINA, A ;
TZIVONI, D ;
STERN, S .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1990, 15 (04) :790-800
[8]   LONG-TERM FOLLOW-UP OF LEFT-VENTRICULAR THROMBUS AFTER ACUTE MYOCARDIAL-INFARCTION - A TWO-DIMENSIONAL ECHOCARDIOGRAPHIC STUDY IN 96 PATIENTS [J].
VISSER, CA ;
KAN, G ;
MELTZER, RS ;
LIE, KI ;
DURRER, D .
CHEST, 1984, 86 (04) :532-536
[9]   EMBOLIC POTENTIAL OF LEFT-VENTRICULAR THROMBUS AFTER MYOCARDIAL-INFARCTION - A TWO-DIMENSIONAL ECHOCARDIOGRAPHIC STUDY OF 119 PATIENTS [J].
VISSER, CA ;
KAN, G ;
MELTZER, RS ;
DUNNING, AJ ;
ROELANDT, J ;
VANCORLER, M ;
DEKONING, H .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1985, 5 (06) :1276-1280
[10]  
ZAGHER D, 1990, CHEST, V97, P754
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