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Abstract
Here, we report a case of successful salvage with urgent thrombolysis plus carotid angioplasty, followed by elective percutaneous coronary intervention (PCI). Transthoracic echocardiography showed the presence of anterior wall hypokinesis with reduced left ventricular systolic function (left ventricular ejection fraction 44%). [...]computed tomography brain scan showed unremarkable signs. Since AMI was confirmed, whereas acute cerebrovascular disease could not be ruled out, the patient was admitted in cardiac intensive care unit. Targeted angioplasty was successfully implemented with no stent implantation, considering no identifiable residue carotid stenosis. On the 8th day after admission, coronary angiography (CAG) was performed to evaluate coronary vasculature, showing mild stenosis in right coronary artery, whereas 50-60% stenosis in left anterior descending artery (LAD) and chronic occlusion of distal left circumflex artery (LCX). Myocardial infarction following recombinant tissue plasminogen activator treatment for acute ischemic stroke: A dangerous complication.