We describe a woman with congestive heart failure who presented with acute cardiac decompensation followed by ischemic stroke. The management of the patient posed unique challenges for thrombolytic treatment (due to existing coagulopathy) and subsequent optimization of hemodynamic status. Issues related to rethrombosis and use of platelet glycoprotein IIB/IIIA inhibitors are also discussed.
Copyright 2008 Elsevier B.V., All rights reserved.
- Cardiac failure
- Glycoprotein IIB/IIIA inhibitors
- Ischemic stroke