并发心脑梗死:病例报告及当前管理策略

Marc El Khoury , Louay Zaghlol , Kalyan R. Chitturi , Hayder D. Hashim , Ron Waksman
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引用次数: 0

摘要

并发心脑梗死(CCCI)是一种罕见的急性心肌梗死(MI)和急性缺血性脑卒中(AIS)同时发生的现象。据报道,这种疾病的发病率在0.009%至0.9%之间,由于需要快速恢复大脑和心脏的灌注,这种疾病带来了重大的管理挑战。我们提出的情况下,71岁的女性同时左主干冠状动脉(LMCA)闭塞和缺血性中风。双重抗血小板治疗(DAPT)和抗凝治疗的医疗管理取得了良好的结果。本病例增加了CCCI的现有文献,并突出了个体化护理的重要性。对文献的回顾揭示了各种管理方法,没有建立CCCI的标准化治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Concurrent cardio-cerebral infarction: Case report and current management strategies
Concurrent cardio-cerebral infarction (CCCI) is a rare phenomenon in which an acute myocardial infarction (MI) and acute ischemic stroke (AIS) occur simultaneously. With a reported incidence ranging between 0.009 % to 0.9 %, this condition poses significant management challenges due to the competing need to rapidly restore perfusion to both the brain and heart. We present the case of a 71-year-old female with simultaneous left main coronary artery (LMCA) occlusion and ischemic stroke. Medical management with dual antiplatelet therapy (DAPT) and anticoagulation led to an excellent outcome. This case adds to the available literature on CCCI and highlights the importance of individualized care. A review of the literature reveals varied approaches to management, with no standardized treatment protocols established for CCCI.
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