Right MCA Lacunar Infarct with Concomitant Right Ventricular Myocardial Infarction
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 2
Abstract
Concomitant acute myocardial infarction and ischemic cerebrovascular accidents has been rarely reported in the literature. In this report, we are describing a 74 year old male patient previous diabetic and hypertensive who presented to ER with a H/O sudden fall at home after which he had weakness of left leg, slurring of speech and left sided hemianopia after which a screening MRI revealed a Rt sided thalamic lacunar infarct. On further probing he revealed a vague epigastric pain and ECG revealed ST elevation in Lead II,III and AVF with atrial fibrillation & CVR. After that pt was urgently shifted to cath lab for percutaneous coronary intervention. This association can best be described as “cardio-cerebral infarction”. Early recognition of such cases is important and determines the patient’s further management and prognosis.
Authors and Affiliations
Arunil Gupta
Keywords
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- EP ID EP552997
- DOI 10.21088/ijem.2395.311X.4218.20
- Views 130
- Downloads 0
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