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Concurrent Cardio-Cerebral Infarction - A Case Report and Literature Review
Cortney de la Torre1, Jaime S Wagner2, Jindong Xu1,3
1Cone Health Stroke Center, Greensboro, NC, USA.
Insights
Concurrent cardio-cerebral infarction (CCI), a rare simultaneous heart attack and stroke, presents treatment challenges. This case study highlights successful management using Tenecteplase and mechanical thrombectomy for acute myocardial infarction and ischemic stroke.
Area of Science:
- Cardiology
- Neurology
- Vascular Medicine
Background:
- Concurrent cardio-cerebral infarction (CCI) involves simultaneous acute myocardial infarction and acute ischemic stroke.
- CCI is a rare condition with no established treatment guidelines due to variable presentations and complications.
Abstract:
Concurrent cardio-cerebral infarction (CCI) describes the simultaneous occurrence of an acute myocardial infarction and an acute ischemic stroke. It is a rare phenomenon, and no consensus yet exists on how to best treat it. CCI patients present with variable clinical scenarios and complications which makes the establishment of a treatment guideline difficult. We present here a case of a 67-year-old male with concurrent acute ST-elevation myocardial infarction and acute ischemic stroke due to right middle cerebral artery occlusion who was successfully treated with Tenecteplase and mechanical thrombectomy. A literature review was also conducted in search of potential reasonable management strategies of CCI.
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