A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction.

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Case Reports in Cardiology Pub Date : 2023-01-01 DOI:10.1155/2023/9986712

Vijay Yadav, Ratna Mani Gajurel, Chandra Mani Poudel, Paras Thapa, Manju Sharma, Suraj Shrestha

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Abstract

Background: Contemporaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS), termed cardio-cerebral infarction (CCI), is a rare medical emergency. The effectual management of this situation is exigent since early management of one condition will inevitably delay the other. Case Presentation. A 60-year-old woman presented to our hospital with concurrent AMI of the inferior left ventricular wall, complicated by cardiogenic shock and transient complete heart block, and AIS of more than 4.5 hour duration. The cerebral computerized tomography angiography revealed a right-sided terminal internal carotid artery (ICA) occlusion, and the coronary angiogram depicted double vessel disease with a culprit lesion in the right coronary artery (RCA). The patient underwent mechanical thrombectomy for the ICA occlusion by an interventional neuroradiologist followed by the primary percutaneous coronary intervention of the culprit RCA by the interventional cardiologists in the same setting.

Conclusion: A patient with concurrent AMI and AIS is a challenging situation to treat in the emergency department, and the treatment must be individualized for each patient.

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罕见的同时并发心脑梗死。

背景:同时发生的急性心肌梗死(AMI)和急性缺血性卒中(AIS)，称为心脑梗死(CCI)，是一种罕见的医学急诊。对这种情况的有效管理是迫在眉睫的，因为早期管理一种情况将不可避免地延误另一种情况。案例演示。60岁女性患者，并发左室下壁AMI，合并心源性休克和短暂性完全性心脏传导阻滞，AIS持续时间超过4.5小时。脑ct血管造影显示右侧颈内动脉末端(ICA)闭塞，冠状动脉造影显示双血管病变伴右冠状动脉(RCA)病变。该患者接受了介入神经放射科医生对ICA闭塞的机械血栓切除术，随后由介入心脏病科医生在相同的环境下对罪魁祸首RCA进行了初步经皮冠状动脉介入治疗。结论:急性心肌梗死并发AIS患者是急诊科治疗的一个挑战，治疗必须个体化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

0.00%

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审稿时长

13 weeks

期刊介绍： Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.