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Ischemic stroke complicating thrombolytic therapy with tenecteplase for ST elevation myocardial infarction: two case reports

Overview of attention for article published in Journal of Medical Case Reports, June 2017
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Title
Ischemic stroke complicating thrombolytic therapy with tenecteplase for ST elevation myocardial infarction: two case reports
Published in
Journal of Medical Case Reports, June 2017
DOI 10.1186/s13256-017-1322-3
Pubmed ID
Authors

Salim Arous, Meryem Haboub, Mohamed El Ghali Benouna, Tarik Bentaoune, Rachida Habbal

Abstract

Hemorrhagic complications are quite common in the rare cases where thrombolysis is performed. Ischemic stroke in the aftermath of thrombolysis for a ST elevation myocardial infarction is a very rare and paradoxical complication. With these observations in mind we report two interesting cases of ischemic stroke which occurred after fibrinolytic therapy with tenecteplase for a ST elevation myocardial infarction. The first case was a 56-year-old African man who presented with an acute infero-basal ST elevation myocardial infarction 6 hours after chest pain onset. Thrombolysis with tenecteplase was performed and few minutes later an ischemic stroke occurred. The second patient was a 65-year-old African man who presented with an acute infero-basal ST elevation myocardial infarction 5 hours after chest pain onset. Thrombolysis was performed and 10 hours later an ischemic stroke occurred. Hemorrhagic stroke is not the only complication of thrombolysis, ischemic stroke can occur even if it is an extremely rare complication. The two cases on which we report shed light on the association between fibrinolytic therapy and ischemic stroke, the pathophysiology of which is not well understood.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 54 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 54 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 15%
Student > Master 6 11%
Other 5 9%
Student > Postgraduate 5 9%
Student > Ph. D. Student 5 9%
Other 7 13%
Unknown 18 33%
Readers by discipline Count As %
Medicine and Dentistry 17 31%
Pharmacology, Toxicology and Pharmaceutical Science 4 7%
Neuroscience 3 6%
Psychology 3 6%
Nursing and Health Professions 2 4%
Other 4 7%
Unknown 21 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 July 2017.
All research outputs
#20,436,330
of 22,990,068 outputs
Outputs from Journal of Medical Case Reports
#3,507
of 3,942 outputs
Outputs of similar age
#276,056
of 317,384 outputs
Outputs of similar age from Journal of Medical Case Reports
#60
of 79 outputs
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