Simultaneously Presented Acute Ischemic Stroke and Non-ST Elevation Myocardial Infarction in a Patient with Paroxysmal Atrial Fibrillation
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Key result
DES successfully treats acute MI during simultaneous cerebral and coronary embolism in paroxysmal AFib.
- n=1
Why the study?
Simultaneous acute ischemic stroke and acute myocardial infarction due to atrial fibrillation-related embolism in the same patient has not been documented.
Design
Case report
Authors
Discussion
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Implication
Rare concurrent embolic stroke and MI in AF warrants clinical vigilance; leaves open whether systematic cardiac evaluation improves outcomes.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 58-year-old man with paroxysmal atrial fibrillation who presented with simultaneous acute ischemic stroke and non-ST elevation myocardial infarction.
I
Intervention
Coronary revascularization with a drug-eluting stent.
Concurrent coronary and cerebral embolism should be considered in patients with atrial fibrillation presenting with acute embolic stroke and evidence of acute myocardial infarction.
Limitations
- Precise time of the event was unclear
- Lack of visualization of a thrombus within the heart after the event
Cite This Study
Kim et al. (2013) conducted a case report in Acute Ischemic Stroke and Non-ST Elevation Myocardial Infarction (n=1). Percutaneous coronary intervention with drug-eluting stent was evaluated. A 58-year-old man with paroxysmal atrial fibrillation successfully underwent coronary revascularization with a drug-eluting stent after presenting with simultaneous acute ischemic stroke and acute myocardial infarction due to concurrent cerebral and coronary embolism.
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