What does this research mean for the field?

A left ventricular apical thrombus can simultaneously cause acute ischemic stroke and myocardial infarction with non-obstructive coronary arteries (MINOCA) via dual embolic events. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To investigate the occurrence of cerebrovascular stroke and myocardial injury due to an apical thrombus in patients with prior myocardial infarction.

June 25, 2026European Heart Journal - Case ReportsOpen Access

One Shot, Two Kills: An Apical Thrombus causing Concomitant Cerebrovascular Stroke and Minoca

View Full Paper

Ask AI

Bookmark

Design

Case report

Authors

MMM MiloOspedale A. Perrino MRM RellaOspedale A. Perrino ACA de CastroOspedale A. Perrino

Discussion

Member takes

Implication

May prompt multimodality imaging in select MINOCA cases; leaves open questions on incidence and optimal management.

Key Points

To investigate the occurrence of cerebrovascular stroke and myocardial injury due to an apical thrombus in patients with prior myocardial infarction.
Case of a recently formed apical thrombus in a patient with anterior myocardial infarction.
Utilized multimodality imaging to assess the embolic mechanism.
Diagnosed cardioembolic MINOCA following imaging results.
Observation of simultaneous cerebral embolism and myocardial injury in the patient.
Embolic mechanism was successfully identified using imaging techniques.

Structured PICO

Population

1 patient with prior anterior myocardial infarction presenting with a newly formed apical thrombus causing simultaneous cerebral embolism and myocardial injury

Intervention

Multimodality imaging

This case highlights the utility of multimodality imaging in identifying an apical thrombus as the source of simultaneous cardioembolic MINOCA and cerebrovascular stroke.

Cite This Study

Milo et al. (2026) studied this question.

synapsesocial.com/papers/6a3d91bf408ebb922448b174 https://doi.org/10.1093/ehjcr/ytag468

View Full Paper

Ask AI

Bookmark

One Shot, Two Kills: An Apical Thrombus causing Concomitant Cerebrovascular Stroke and Minoca

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

One Shot, Two Kills: An Apical Thrombus causing Concomitant Cerebrovascular Stroke and Minoca

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider