Concurrent acute myocardial infarction and acute ischemic stroke: Case reports and literature review
Cheng-hong Bao, Chen Zhang, Xiaomin Wang, Yi-bin Pan
Abstract
Acute myocardial infarction (AMI) and acute ischemic stroke (AIS) are the main causes of disability and mortality worldwide. Although reperfusion therapy is the most effective treatment for the two diseases, it is still a great challenge for treating the two diseases at the same time. Here we share 2 cases: one patient was hospitalized for AMI, developed AIS after receiving percutaneous coronary intervention (PCI), and suffered from cardiac rupture after alteplase thrombolytic therapy. The other patient was admitted for AIS, who had sudden chest pain during the thrombolytic process of alteplase. Considering AMI, emergency PCI was performed, and he was finally discharged.
Topics & Concepts
MedicineConventional PCIMyocardial infarctionPercutaneous coronary interventionChest painStroke (engine)CardiologyInternal medicineEngineeringMechanical engineeringAcute Ischemic Stroke ManagementAcute Myocardial Infarction ResearchCardiac Imaging and Diagnostics