| Two patients with acute myocardial infarction presenting with simultaneous acute ischemic stroke |
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Jong Kyu Park, Sang-Hak Lee, Seonghoon Choi, Jae-Hun Jung, Namho Lee |
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전남대학교병원 심장센터, 간호부, 전남대학교 심혈관계 특성화 사업단 |
| 증례 : 급성 허혈성 뇌졸중과 동시에 발생한 급성 심근 경색 2예 |
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박종규, 이상학, 최성훈, 정재헌, 이남호 |
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| Abstract |
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Myocardial infarction (MI) and stroke often share the same risk factors and pathogenic mechanism. Sometimes they can occur in the same patient proximately, occurring days or weeks apart. However, the simultaneous occurrence of MI and stroke is rare and presents a diagnostic and therapeutic challenge. Specifically, an acute stroke can alter typical features of MI. Thus, recognition of the coexistence of these two events requires a high threshold of suspicion. The authors describe two patients who presented with simultaneous stroke and MI development. The two events developed on the same day in both patients. The second patient did not have chest pain, whereas chest symptoms could not be assessed in the first patient secondary to altered mental status. After the diagnoses were made using clinical and laboratory findings, urgent percutaneous coronary intervention was performed in both patients. |
| Key Words:
Cerebrovascular accident; Myocardial infarction; Concomitant disease |
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