Successful treatment of acute myocardial infarction during pregnancy with tissue plasminogen activator.

A 30-year-old woman had an acute inferior wall myocardial infarction at 21 weeks' gestation and was successfully treated with intravenous tissue plasminogen activator. This case demonstrates that good perinatal outcome is possible after thrombolytic therapy for acute myocardial infarction complicating the second trimester of pregnancy.