摘要To the Editor:Little is known about the management of acute myocardial infarction in patient with heparin-induced thrombocytopenia (HIT),especially after the primary percutaneous coronary intervention (PCI).We present a case of intracerebral hemorrhage (ICH) in the left temporal lobe after PCI.An 81-year-old man was admitted to our hospital who complained of severe chest pain for 24 h,with sweating and weakness.Coronary risk factors included hypertension,diabetes,and smoking.Physical examination revealed a barrel chest and a dramatic decrease in breath sounds throughout the chest.Electrocardiography on admission revealed a marked ST segment elevation and T-wave changes in leads Ⅱ,Ⅲ,aVF and V7-V9.The diagnosis was acute ST-elevation myocardial infarction (STEMI),inferior and posterior.