Dissecting out the cause: a case of concurrent acute myocardial infarction and stroke

Nguyen, T.; Rajaratnam, R.

doi:10.1136/bcr.02.2011.3824

Cited by 8 publications

(4 citation statements)

References 4 publications

(4 reference statements)

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“…Atrial fibrillation has been reported as a cause of simultaneous cardiocerebral infarction due to common source of both cerebral and coronary embolism ( 14 , 15 ). Type-I aortic dissection with dissection flap extending to coronary and common carotid arteries origin had been reported to cause concurrent acute myocardial infarction and acute ischemic stroke ( 16 ). In addition, concurrent coronary and cerebral vasospasm due to electrical injury have been reported as an uncommon cause of simultaneous cardiocerebral infarction ( 17 ).…”

Section: Pathophysiology Of Simultaneous Cardiocerebral Infarctionmentioning

confidence: 99%

Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?

2017

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Concurrent acute ischemic stroke and acute myocardial infarction is an uncommon medical emergency condition. The challenge for the physicians regarding the management of this situation is paramount since early management of one condition will inevitably delay the other. We present two illustrative cases of “hyperacute simultaneous cardiocerebral infarction” who presented with simultaneous cardiocerebral infarction and arrived at the hospital within the thrombolytic therapeutic window for acute ischemic stroke of 4.5 h. We propose an algorithm for managing the patient with hyperacute simultaneous cardiocerebral infarction based on hemodynamic status and suggest close cardiac monitoring based on the site of cerebral infarction.

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Section: Pathophysiology Of Simultaneous Cardiocerebral Infarctionmentioning

confidence: 99%

Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?

2017

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“…[ 17 ] Third, type-I aortic dissection can cause simultaneous myocardial infarction and ischemic stroke. [ 18 ] Fourth, right ventricular infarction with a patent foramen ovale can embolize to vascular territories and cause an ischemic stroke. [ 12 ]…”

Section: Discussionmentioning

confidence: 99%

Simultaneous cardio-cerebral infarction in the coronavirus disease pandemic era

Eskandarani

Sahli²,

Sawan³

et al. 2021

Medicine

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Introduction: Simultaneous occurrence of acute ischemic stroke and myocardial infarction is reported to have variable precipitating causes. This occurrence has been rarely reported in the literature and described only in very few case reports. During the surge of coronavirus disease (COVID-19) in our region, we noted an increase in the simultaneous occurrence of cardio-cerebral infarction. This led us to explore the possible mechanisms and pathophysiology that could contribute to this increase. The retrospective nature of the study limited us from drawing any conclusion about causation. Rather, we aimed to formulate a hypothesis for future, more rigorous studies. Patient concerns: We present an overview of 5 cases of simultaneous cardio-cerebral infarction that we encountered in our emergency department within 1 month. Diagnosis: In all cases, diagnosis was confirmed using an electrocardiogram, assessment of laboratory cardiac markers, and imaging. Interventions: In all cases, dual antiplatelet therapy was started and thrombolysis was held, as the condition was considered high risk in most of the patients. Cardiac catheterization lab was not activated either because the patient was unstable or the risk of COVID-19 in staff outweighed the benefit added in patient treatment. Outcomes: Two out of 5 patients died because of early complications that lasted for few days. The remaining 3 were discharged from the hospital in moderate functionality for extensive therapy and rehabilitation. Conclusion: Early recognition and immediate treatment is important in different scenarios leading to thrombosis as the outcome. Additionally, addressing the unknown risks that could contribute to our traditional understanding of these causative mechanisms is important. The hypothesis of exacerbated damage caused by inflammatory and immunological endothelial systemic damage should further be explored to be able to delineate new possibilities in managing these conditions.

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“…The most of these is atrial fibrillation can be causes common source of both brain and coronary artery embolism [9]. Acute aortic dissection (type I) with dissection flap extending to coronary arteries and subclavian trunk or common carotid arteries origin had been confirmed to cause concurrent acute myocardial infarction and acute ischemic stroke [10]. In addition, vasospasm due to electrical injury have been reported as an uncommon cause of type I cardio-cerebral infarction syndrome [11].…”

Section: Pathophysiologymentioning

confidence: 99%

Cardio-Cerebral Infarction Syndrome (CCIS): Definition, Diagnosis, Pathophysiology and Treatment

Habib¹

2021

CCR

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Acute ischemic stroke (AIS) and coronary artery disease are the major causes of death in Palestine and in the world. Ischemic stroke and acute coronary syndrome have similar vascular risk factors and may evolve as a complication of the respective other disease. The prevalence of coronary artery disease has been reported in one fifth of stroke patients. high incidence rate of acute myocardial infarction (AMI) after recent ischemic stroke and the high risk of acute ischemic stroke after recent myocardial infarction has been reported in several clinical or observational studies. Patients are at increased risk of ischemic stroke following recent myocardial infarction, and aggressive treatment of AMI, including use of reperfusion therapy, decreases the risk of AIS. For patients presenting with AIS in the setting of a recent MI, treatment with alteplase, an intravenous tissue plasminogen activator, can be given, but may be harmful in many conditions. It is important for clinicians to recognize that troponin elevations can occur in the setting of AIS as well as other clinical scenarios and that this may have implications for short-and long-term mortality. So that acute or recent problem in the heart or brain that could result in an acute infarction of the other. In this review we describe the definition and new classification of the cardio-cerebral infarction syndrome with 3 subtypes that reflect the definition, pathophysiology and treatment options.

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Dissecting out the cause: a case of concurrent acute myocardial infarction and stroke

Cited by 8 publications

References 4 publications

Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?

Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?

Simultaneous cardio-cerebral infarction in the coronavirus disease pandemic era

Cardio-Cerebral Infarction Syndrome (CCIS): Definition, Diagnosis, Pathophysiology and Treatment

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