Abstract
We describe simultaneous acute ischemic stroke and acute myocardial infarction in a 66-year-old woman who was presented at the emergency room with sudden left hemiparesis. A neurological examination revealed dysarthria, left hemiparesis, and left hemi-hypoesthesia. Imaging findings revealed acute ischemic stroke and acute myocardial infarction with congestive heart failure. Immediate intravenous tissue plasminogen activator (t-PA) improved both the acute ischemic stroke and the acute myocardial infarction. Previous reports about treating simultaneous acute ischemic stroke and acute myocardial infarction with intravenous t-PA did not indicate the prognosis of the patients. However, intravenous t-PA might be valuable for such situations.
