Key result
PCI and thrombolysis for concurrent NSTEMI and stroke linked to ventricular arrhythmias and hemorrhagic transformation.
Case Report (n=1)
This case highlights the severe complexities and need for multidisciplinary care when managing concurrent acute coronary syndrome and acute ischemic stroke.
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Combined PCI-thrombolysis in concurrent NSTEMI-stroke risks arrhythmias and hemorrhage; leaves open optimal sequencing.
A 67-year-old woman with hypertension and diabetes presented with retrosternal chest pain radiating to her left shoulder. She was diagnosed with a non-ST elevation myocardial infarction. After coronary angiography with PCI, she developed ventricular tachycardia, ventricular fibrillation, acute kidney injury, and congestive heart failure. A neurological evaluation confirmed an acute ischemic stroke, for which thrombolysis was administered. Subsequent follow-up imaging revealed hemorrhagic transformation. This case illustrates the complexities of cardio-cerebral syndromes and highlights the necessity for multidisciplinary care in critical situations.
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Labib et al. (2026) conducted a case report in Acute Coronary Syndrome and Ischemic Stroke (n=1). PCI and thrombolysis was evaluated. Management of concurrent NSTEMI and acute ischemic stroke with PCI and thrombolysis in a 67-year-old woman was complicated by ventricular arrhythmias and hemorrhagic transformation.
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