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A case report of ST-segment elevation myocardial infarction with stroke highlights treatment challenges and strategies.
Cardiocerebral infarction is defined as the simultaneous or sequential occurrence of myocardial infarction and stroke. We present a 62-year-old woman with concurrent ST-segment elevation myocardial infarction and minor ischemic stroke. Coronary angiography revealed multivessel coronary artery disease, with the obtuse marginal branches (OM1 and OM2) identified as culprit lesions. Following multidisciplinary evaluation, heparin and dual antiplatelet therapy were initiated, leading to resolution of neurologic deficits and successful percutaneous coronary intervention of the OM1 lesion. This case highlights the complexity of managing simultaneous cardiac and neurologic emergencies.
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Pinninty et al. (2025) studied this question.
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