{"id":"https://openalex.org/W7225823746","doi":"https://doi.org/10.66789/tjcvd.2026.879","title":"One thrombolysis, two vascular emergencies: A case of concurrent acute ischemic stroke and ST-elevation acute coronary syndrome","display_name":"One thrombolysis, two vascular emergencies: A case of concurrent acute ischemic stroke and ST-elevation acute coronary syndrome","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225823746","doi":"https://doi.org/10.66789/tjcvd.2026.879"},"language":"en","primary_location":{"id":"doi:10.66789/tjcvd.2026.879","doi":"https://doi.org/10.66789/tjcvd.2026.879","is_oa":true,"landing_page_url":"https://doi.org/10.66789/tjcvd.2026.879","pdf_url":null,"source":{"id":"https://openalex.org/S5407047893","display_name":"Turkish Journal of Cerebrovascular Diseases","issn_l":"1301-1375","issn":["1301-1375","2146-9113","3062-3707"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":"https://openalex.org/P4310318333","host_organization_name":"Turkish Society of Cerebrovascular Diseases","host_organization_lineage":["https://openalex.org/P4310318333"],"host_organization_lineage_names":["Turkish Society of Cerebrovascular Diseases"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Turkish Journal of Cerebrovascular Diseases","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.66789/tjcvd.2026.879","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5134947154","display_name":"Ali Eren Ersin","orcid":"https://orcid.org/0000-0002-5316-2738","observed_orcids":["https://orcid.org/0000-0002-5316-2738"]},"institutions":[{"id":"https://openalex.org/I4405258829","display_name":"Antalya \u015eehi\u0307r Hastanesi\u0307","ror":"https://ror.org/018vqs433","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4405258829"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Ali Eren Ersin","raw_affiliation_strings":["Neurology Clinic, Antalya City Hospital, Antalya, T\u00fcrkiye"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology Clinic, Antalya City Hospital, Antalya, T\u00fcrkiye","institution_ids":["https://openalex.org/I4405258829"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161458011","display_name":"Esma Hande Tural","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405258829","display_name":"Antalya \u015eehi\u0307r Hastanesi\u0307","ror":"https://ror.org/018vqs433","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4405258829"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Esma Hande Tural","raw_affiliation_strings":["Neurology Clinic, Antalya City Hospital, Antalya, T\u00fcrkiye"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology Clinic, Antalya City Hospital, Antalya, T\u00fcrkiye","institution_ids":["https://openalex.org/I4405258829"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054779500","display_name":"Eylem TEKE","orcid":"https://orcid.org/0009-0002-1398-5753","observed_orcids":["https://orcid.org/0009-0002-1398-5753"]},"institutions":[{"id":"https://openalex.org/I4405258829","display_name":"Antalya \u015eehi\u0307r Hastanesi\u0307","ror":"https://ror.org/018vqs433","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4405258829"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Eylem Teke","raw_affiliation_strings":["Neurology Clinic, Antalya City Hospital, Antalya, T\u00fcrkiye"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology Clinic, Antalya City Hospital, Antalya, T\u00fcrkiye","institution_ids":["https://openalex.org/I4405258829"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4405258829"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"32","issue":"Supplement 1","first_page":"116","last_page":"120"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.5785999894142151,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.5785999894142151,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.4169999957084656,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12082","display_name":"Takotsubo Cardiomyopathy and Associated Phenomena","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9803000092506409},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7591999769210815},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7391999959945679},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.6692000031471252},{"id":"https://openalex.org/C197321550","wikidata":"https://www.wikidata.org/wiki/Q11175","display_name":"Circumflex","level":3,"score":0.5192999839782715},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.5113999843597412},{"id":"https://openalex.org/C36036425","wikidata":"https://www.wikidata.org/wiki/Q7846262","display_name":"Troponin","level":3,"score":0.4959999918937683},{"id":"https://openalex.org/C2780400711","wikidata":"https://www.wikidata.org/wiki/Q2008344","display_name":"Percutaneous coronary intervention","level":3,"score":0.46399998664855957},{"id":"https://openalex.org/C2778024521","wikidata":"https://www.wikidata.org/wiki/Q55639806","display_name":"Basal (medicine)","level":3,"score":0.3804999887943268},{"id":"https://openalex.org/C2778742706","wikidata":"https://www.wikidata.org/wiki/Q18361829","display_name":"Coronary arteries","level":3,"score":0.35989999771118164},{"id":"https://openalex.org/C2776291336","wikidata":"https://www.wikidata.org/wiki/Q7394928","display_name":"ST elevation","level":3,"score":0.34299999475479126},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.33730000257492065},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.33500000834465027},{"id":"https://openalex.org/C2780247198","wikidata":"https://www.wikidata.org/wiki/Q633403","display_name":"Weakness","level":2,"score":0.329800009727478},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.3098999857902527},{"id":"https://openalex.org/C2777260377","wikidata":"https://www.wikidata.org/wiki/Q2604639","display_name":"Coronary care unit","level":3,"score":0.30169999599456787},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.28540000319480896},{"id":"https://openalex.org/C2778088351","wikidata":"https://www.wikidata.org/wiki/Q429285","display_name":"Right coronary artery","level":4,"score":0.26899999380111694},{"id":"https://openalex.org/C3020166492","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Acute stroke","level":3,"score":0.2639999985694885},{"id":"https://openalex.org/C2780813298","wikidata":"https://www.wikidata.org/wiki/Q2071287","display_name":"Percutaneous","level":2,"score":0.26089999079704285},{"id":"https://openalex.org/C3019004856","wikidata":"https://www.wikidata.org/wiki/Q42297149","display_name":"Coronary angiography","level":3,"score":0.26080000400543213},{"id":"https://openalex.org/C115725540","wikidata":"https://www.wikidata.org/wiki/Q7846263","display_name":"Troponin I","level":3,"score":0.2590000033378601},{"id":"https://openalex.org/C144469398","wikidata":"https://www.wikidata.org/wiki/Q24785650","display_name":"Troponin T","level":3,"score":0.25699999928474426}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.66789/tjcvd.2026.879","doi":"https://doi.org/10.66789/tjcvd.2026.879","is_oa":true,"landing_page_url":"https://doi.org/10.66789/tjcvd.2026.879","pdf_url":null,"source":{"id":"https://openalex.org/S5407047893","display_name":"Turkish Journal of Cerebrovascular Diseases","issn_l":"1301-1375","issn":["1301-1375","2146-9113","3062-3707"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":"https://openalex.org/P4310318333","host_organization_name":"Turkish Society of Cerebrovascular Diseases","host_organization_lineage":["https://openalex.org/P4310318333"],"host_organization_lineage_names":["Turkish Society of Cerebrovascular Diseases"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Turkish Journal of Cerebrovascular Diseases","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.66789/tjcvd.2026.879","doi":"https://doi.org/10.66789/tjcvd.2026.879","is_oa":true,"landing_page_url":"https://doi.org/10.66789/tjcvd.2026.879","pdf_url":null,"source":{"id":"https://openalex.org/S5407047893","display_name":"Turkish Journal of Cerebrovascular Diseases","issn_l":"1301-1375","issn":["1301-1375","2146-9113","3062-3707"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["tr-dizin"],"host_organization":"https://openalex.org/P4310318333","host_organization_name":"Turkish Society of Cerebrovascular Diseases","host_organization_lineage":["https://openalex.org/P4310318333"],"host_organization_lineage_names":["Turkish Society of Cerebrovascular Diseases"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Turkish Journal of Cerebrovascular Diseases","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"The":[1,144,256,322],"simultaneous":[2,77],"occurrence":[3],"of":[4,68,79,127,187,193,225,233,270,324,339],"acute":[5,9,59,349,369],"ischemic":[6,60,129,370],"stroke":[7,286,371],"and":[8,37,49,70,83,95,139,158,160,168,208,215,228,237,251,273,309,327,357,395],"myocardial":[10,312],"infarction,":[11],"described":[12],"as":[13],"\u201ccardiocerebral":[14],"infarction,\u201d":[15],"is":[16,28],"a":[17,45,66,125,184,377],"clinically":[18],"challenging":[19],"condition.":[20],"Although":[21],"both":[22],"diseases":[23],"require":[24],"urgent":[25],"reperfusion,":[26,303],"there":[27],"no":[29,102],"common":[30],"algorithm":[31],"regarding":[32],"treatment":[33],"doses,":[34],"interventional":[35],"approaches,":[36],"bleeding":[38],"risk.":[39],"This":[40],"report":[41],"aims":[42],"to":[43,73,137,142,176,261,374],"present":[44],"patient":[46,257],"whose":[47],"neurological":[48,278,350],"coronary":[50,179,218,246,291,302,304,329,380,396],"findings":[51],"regressed":[52],"after":[53,280,331],"IV":[54,120,281,298,365],"thrombolytic":[55],"therapy":[56,326],"given":[57,123,283,367],"for":[58,368],"stroke.Case:":[61],"A":[62],"66-year-old":[63],"woman":[64],"with":[65,76,124,183,277,348,389],"history":[67],"HTN":[69],"DM":[71],"presented":[72],"another":[74],"center":[75],"onset":[78],"right":[80,88,132],"arm":[81],"weakness":[82],"chest":[84,271,354],"pain.":[85],"On":[86,217],"presentation,":[87],"upper":[89,133],"extremity":[90,134],"muscle":[91],"strength":[92,135],"was":[93,97,122,162,174,248,254,258],"3/5":[94],"NIHSS":[96,140],"2.":[98],"Brain":[99],"CT":[100],"showed":[101,106,151,191,199],"hemorrhage;":[103],"diffusion":[104,107],"MRI":[105],"restriction":[108],"in":[109,154,240,318,376],"the":[110,148,194,220,226,234,241,262,268,285,290,319,337],"bilateral":[111],"frontal":[112],"regions.":[113],"At":[114],"2":[115,206],"hours":[116],"from":[117],"symptom":[118],"onset,":[119],"tPA":[121,282,366],"diagnosis":[126,186],"hyperacute":[128],"stroke.":[130],"Afterward,":[131],"rose":[136],"4/5":[138],"fell":[141],"1.":[143],"ECG":[145],"obtained":[146],"at":[147,170,284],"same":[149],"time":[150],"ST":[152,195,274],"elevation":[153],"leads":[155],"II,":[156],"III,":[157],"aVF,":[159],"troponin":[161],"30.9":[163],"initially,":[164],"724.2":[165],"on":[166],"follow-up,":[167],"peaked":[169],"1,300":[171],"nanogram/L.":[172],"She":[173],"referred":[175],"our":[177,266],"center\u2019s":[178],"intensive":[180],"care":[181],"unit":[182],"preliminary":[185],"ACS.":[188],"Serial":[189],"ECGs":[190],"regression":[192,269],"elevations.":[196],"Transthoracic":[197],"echo":[198],"EF":[200],"50%,":[201],"basal":[202],"inferior":[203],"hypokinesis,":[204],"grade":[205],"mitral":[207],"aortic":[209],"regurgitation,":[210],"LA":[211],"39":[212],"mm":[213],"(diameter)":[214],"LVH.":[216],"angiography":[219,397],"next":[221],"day,":[222],"40%":[223],"stenosis":[224,232],"proximal":[227,235],"mid":[229],"LAD,":[230],"30%":[231],"RCA,":[236],"diffuse":[238],"plaques":[239],"Cx":[242],"were":[243],"seen.":[244],"Percutaneous":[245],"intervention":[247,330],"not":[249],"required,":[250],"medical":[252],"follow-up":[253],"decided.":[255],"then":[259],"transferred":[260],"neurology":[263],"ward.":[264],"In":[265,346],"patient,":[267],"pain":[272],"elevations":[275],"together":[276,388],"improvement":[279],"dose":[287],"suggests":[288],"that":[289],"thrombus":[292],"may":[293,372],"have":[294],"been":[295],"dissolved":[296],"by":[297,353],"tPA.":[299],"However,":[300,382],"spontaneous":[301],"vasospasm,":[305],"MINOCA,":[306],"stress":[307],"cardiomyopathy,":[308],"stroke-related":[310],"neurogenic":[311],"injury":[313],"should":[314,333,360,385],"also":[315],"be":[316,334,361,386],"considered":[317],"differential":[320],"diagnosis.":[321],"timing":[323],"antiplatelet":[325],"invasive":[328],"thrombolysis":[332],"individualized,":[335],"taking":[336],"risk":[338],"intracranial":[340],"hemorrhage":[341],"into":[342],"account":[343],"(Figure":[344],"1\u20136).Discussion/Conclusion:":[345],"patients":[347],"deficit":[351],"accompanied":[352],"pain,":[355],"cerebral":[356],"cardiac":[358,392],"evaluation":[359],"carried":[362],"out":[363],"together.":[364],"contribute":[373],"reperfusion":[375],"concomitant":[378],"thrombotic":[379],"occlusion.":[381],"this":[383],"possibility":[384],"interpreted":[387],"serial":[390],"ECGs,":[391],"biomarkers,":[393],"echocardiography,":[394],"data.Keywords:":[398]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}