Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?

Concurrent acute ischemic stroke and acute myocardial infarction is an uncommon medical emergency condition. The challenge for the physicians regarding the management of this situation is paramount since early management of one condition will inevitably delay the other. We present two illustrative c...

Descripción completa

Detalles Bibliográficos
Autores principales: Kijpaisalratana, Naruchorn, Chutinet, Aurauma, Suwanwela, Nijasri C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Neuroscience
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725403/
https://www.ncbi.nlm.nih.gov/pubmed/29270151
http://dx.doi.org/10.3389/fneur.2017.00664
_version_ 1783285514243145728
author Kijpaisalratana, Naruchorn
Chutinet, Aurauma
Suwanwela, Nijasri C.
author_facet Kijpaisalratana, Naruchorn
Chutinet, Aurauma
Suwanwela, Nijasri C.
author_sort Kijpaisalratana, Naruchorn
collection PubMed
description Concurrent acute ischemic stroke and acute myocardial infarction is an uncommon medical emergency condition. The challenge for the physicians regarding the management of this situation is paramount since early management of one condition will inevitably delay the other. We present two illustrative cases of “hyperacute simultaneous cardiocerebral infarction” who presented with simultaneous cardiocerebral infarction and arrived at the hospital within the thrombolytic therapeutic window for acute ischemic stroke of 4.5 h. We propose an algorithm for managing the patient with hyperacute simultaneous cardiocerebral infarction based on hemodynamic status and suggest close cardiac monitoring based on the site of cerebral infarction.
format Online
Article
Text
id pubmed-5725403
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-57254032017-12-21 Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First? Kijpaisalratana, Naruchorn Chutinet, Aurauma Suwanwela, Nijasri C. Front Neurol Neuroscience Concurrent acute ischemic stroke and acute myocardial infarction is an uncommon medical emergency condition. The challenge for the physicians regarding the management of this situation is paramount since early management of one condition will inevitably delay the other. We present two illustrative cases of “hyperacute simultaneous cardiocerebral infarction” who presented with simultaneous cardiocerebral infarction and arrived at the hospital within the thrombolytic therapeutic window for acute ischemic stroke of 4.5 h. We propose an algorithm for managing the patient with hyperacute simultaneous cardiocerebral infarction based on hemodynamic status and suggest close cardiac monitoring based on the site of cerebral infarction. Frontiers Media S.A. 2017-12-07 /pmc/articles/PMC5725403/ /pubmed/29270151 http://dx.doi.org/10.3389/fneur.2017.00664 Text en Copyright © 2017 Kijpaisalratana, Chutinet and Suwanwela. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Kijpaisalratana, Naruchorn
Chutinet, Aurauma
Suwanwela, Nijasri C.
Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?
title Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?
title_full Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?
title_fullStr Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?
title_full_unstemmed Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?
title_short Hyperacute Simultaneous Cardiocerebral Infarction: Rescuing the Brain or the Heart First?
title_sort hyperacute simultaneous cardiocerebral infarction: rescuing the brain or the heart first?
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725403/
https://www.ncbi.nlm.nih.gov/pubmed/29270151
http://dx.doi.org/10.3389/fneur.2017.00664
work_keys_str_mv AT kijpaisalratananaruchorn hyperacutesimultaneouscardiocerebralinfarctionrescuingthebrainortheheartfirst
AT chutinetaurauma hyperacutesimultaneouscardiocerebralinfarctionrescuingthebrainortheheartfirst
AT suwanwelanijasric hyperacutesimultaneouscardiocerebralinfarctionrescuingthebrainortheheartfirst

Ejemplares similares