Why the study?
Simultaneous STEMI and acute ischemic stroke is rare and challenging because both require rapid reperfusion, yet STEMI antithrombotic therapy may increase intracranial bleeding risk.
Population
A 75-year-old woman with simultaneous STEMI and acute ischemic stroke
Design
Case report
Follow-up
24 h
Key result
In a 75-year-old woman with simultaneous anterior STEMI and left MCA occlusion, a 'heart-first' strategy of primary PCI followed by mechanical thrombectomy achieved successful reperfusion.
Authors
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Supports feasibility of heart-first PCI then thrombectomy in concurrent STEMI-stroke; leaves open optimal sequencing for prospective trials.
Case Report (n=1)
A 'heart-first' sequential reperfusion strategy (primary PCI followed by mechanical thrombectomy) is feasible and effective for hemodynamically unstable patients presenting with simultaneous STEMI and large-vessel occlusion stroke.
Rossi et al. (2026) conducted a case report in Simultaneous STEMI and acute ischemic stroke (n=1). Primary PCI followed by mechanical thrombectomy was evaluated. In a 75-year-old woman with simultaneous anterior STEMI and left MCA occlusion, a 'heart-first' strategy of primary PCI followed by mechanical thrombectomy achieved successful reperfusion.