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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 109 - 112 (4page)
- DOI
- 10.18700/jnc.210030
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초록· 키워드
오류제보하기
Background: Although there are common risk factors for acute ischemic stroke and myocardial infarction, simultaneous onset of both diseases is uncommon. Here, we present a case of acute cerebral infarction with concurrent fatal myocardial infarction. Case Report: A 54-year-old man presented with left hemiparesis, gaze preponderance to the right side, and visual and tactile extinction. Computed tomography angiography showed occlusion of the right middle cerebral artery. ST-elevation myocardial infarction was suspected on electrocardiography. After the injection of intravenous tissue plasminogen activator, thrombectomy was attempted first, and the coronary angiogram was planned after recanalization of the cerebral artery. However, thrombectomy was discontinued because of cardiac arrest. Despite extracorporeal membrane oxygenation and emergency percutaneous coronary intervention, the patient died of multiorgan failure.Conclusion: Double primary acute ischemic stroke and myocardial infarction are rare but may be fatal due to the narrow therapeutic time window for both diseases. Careful consideration of the urgency of cardiac status is essential.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Virani SS / 2020 / Heart disease and stroke statistics-2020update : a report from the American Heart Association / Circulation 141:e139~e596
Meschia JF / 2014 / Guidelines for the primary prevention of stroke : a statement for healthcare professionals from the American Heart Association/American Stroke Association / Stroke 45:3754~3832
Mottillo S / 2010 / The metabolic syndrome and cardiovascular risk a systematic review and meta-analysis / J Am Coll Cardiol 56:1113~1132
Yeo LL / 2017 / Synchronous cardiocerebral infarction in the era of endovascular therapy : which to treat first / J Thromb Thrombolysis 44:104~111
Omar HR / 2010 / Concomitant acute right ventricular infarction and ischemic cerebrovascular stroke : possible explanations / Int Arch Med 3:25
Meschia JF / 2014 / Guidelines for the primary prevention of stroke : a statement for healthcare professionals from the American Heart Association/American Stroke Association / Stroke 45:3754~3832
Mottillo S / 2010 / The metabolic syndrome and cardiovascular risk a systematic review and meta-analysis / J Am Coll Cardiol 56:1113~1132
Yeo LL / 2017 / Synchronous cardiocerebral infarction in the era of endovascular therapy : which to treat first / J Thromb Thrombolysis 44:104~111
Omar HR / 2010 / Concomitant acute right ventricular infarction and ischemic cerebrovascular stroke : possible explanations / Int Arch Med 3:25
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