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Updated: Jul 5, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Concurrent Acute Ischemic Stroke and Myocardial Infarction Associated With Atrial Fibrillation
Jangwon Lee1, Won Yeol Choi1, Gyu-Tae Park1
1Division of Cardiology, Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Insights
This study reports a rare case of cardiac arrest due to a completely blocked left anterior descending artery, which was successfully treated with thrombus aspiration. The findings highlight the importance of considering cardiac causes for neurological events.
Area of Science:
- Cardiology
- Neurology
- Interventional Cardiology
Background:
- Dysarthria can be a symptom of acute neurological events, including cerebral infarction.
- ST-segment elevation on electrocardiography typically indicates acute myocardial infarction.
- Cerebral infarction and coronary artery occlusion can coexist, presenting complex clinical scenarios.
Abstract:
An 85-year-old man was admitted with dysarthria. Electrocardiography showed atrial fibrillation and prominent ST-segment elevation in V2-V6. Multiple acute cerebral infarctions were observed in brain images. Coronary angiography showed total occlusion of the mid left anterior descending artery. After thrombus aspiration, no atherosclerotic changes were observed on intravascular ultrasound.
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