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Embolic Stroke Following Thrombolytic Therapy for Myocardial Infarction in a Patient with Preexisting Ventricular Thrombi Stroke 26:324-325, Bautista,R.E.D., 1995 See this aricle in Pubmed Article Abstract An 82-year-old woman was admitted with congestive heart failure.Initial echocardiogram demonstrated ventricular thrombi.Three days late5r she experienced an inferior wall myocardial infarction,and intravenous streptokinase was administered.Six hours later she abruptly developed a global aphasia with a dense right hemiparesis.Repeat echocardiogram did not show any thrombus.Thrombolytic therapy may have caused embolization of ventricular thrombi.Cardiac conditions that predispose to embolic strokes are not established contraindications to thrombolytic therapy.The potential for thrombolytic therapy to produce embolization in patients with preexisting cardiac mural thrombi should be evaluated.

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(click to filter results - removes previous filter) adverse drug reaction cerebral embolism cerebral embolism,cardiac origin embolism fibrinolytic agents fibrinolytic agents,complications iatrogenic neurologic disorders myocardial infarction myocardial infarction,acute streptokinase thrombus,mural

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