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Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?
Naruchorn Kijpaisalratana1, Aurauma Chutinet1,2, Nijasri C Suwanwela1,2
1Chulalongkorn Stroke Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Abstract:
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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