Key result
In two cases of concurrent acute myocardial infarction and acute ischemic stroke, treatment with percutaneous coronary intervention and intravenous thrombolysis resulted in one death due to cardiac rupture and one successful discharge.
Why the study?
Treating concurrent acute myocardial infarction and acute ischemic stroke simultaneously remains a major clinical challenge, despite reperfusion therapy being the most effective treatment for both.
Case Report (n=2)
No
The management of concurrent acute myocardial infarction and acute ischemic stroke is highly challenging, requiring individualized reperfusion strategies to balance the risks of bleeding, cardiac rupture, and ongoing ischemia.
No takes yet. Share an insight, caveat, or question.
Highlights risks of PCI plus thrombolysis in concurrent AMI and stroke; hypothesis-generating, larger prospective studies needed before changing practice.
Bao et al. (2022) conducted a case report in Concurrent acute myocardial infarction and acute ischemic stroke (n=2). Percutaneous coronary intervention and intravenous thrombolysis was evaluated. In two cases of concurrent acute myocardial infarction and acute ischemic stroke, treatment with percutaneous coronary intervention and intravenous thrombolysis resulted in one death due to cardiac rupture and one successful discharge.
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