A Case Report on Concurrent Stroke and Myocardial Infarction

Concurrent myocardial infarction and acute cerebral is a rare poorly studied phenomenon that presents challenge to treat as both conditions are life threatening with narrow therapeutic windows. We present the case of 70 year old female who presented symptoms concerning for stroke. However, an electrocardiogram revealed she was also having infarction. The decision made stroke intravenous tissue plasminogen activator. Unfortunately, patient ultimately decompensated died. There many proposed etiologies this including cardiac thrombi leading concurrent infarction, primary Treatment options include simultaneous mechanical thrombectomy percutaneous coronary intervention in catheterization laboratory, or treating activator dose then potentially proceeding intervention. Ultimately, management situation will depend on patient’s specific type stroke, extent irreversible damage, hospital’s available resources. A randomized controlled study difficult because occurrence presentations systematic review literature may provide physicians better insight how approach