Successful treatment of acute myocardial infarction by thrombolytic therapy in a patient with primary antiphospholipid antibody syndrome

Cardiology. 1996 Jul-Aug;87(4):354-7. doi: 10.1159/000177119.


A dilemma must be faced when deciding whether or not to use thrombolytic therapy in patients with acute myocardial infarction and circulating antiphospholipid antibody. This report is about a patient whose infarct-related coronary artery was successfully revascularized by recombinant tissue plasminogen activator without any major bleeding complications. The nature of the infarct-related artery was described by the use of intravascular ultrasonography.

Publication types

  • Case Reports

MeSH terms

  • Antiphospholipid Syndrome / complications*
  • Antiphospholipid Syndrome / diagnosis
  • Coronary Angiography
  • Electrocardiography
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / complications
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / drug therapy*
  • Plasminogen Activators / therapeutic use*
  • Recombinant Proteins
  • Thrombolytic Therapy / methods*
  • Tissue Plasminogen Activator / therapeutic use*
  • Ultrasonography, Interventional


  • Recombinant Proteins
  • Plasminogen Activators
  • Tissue Plasminogen Activator