Hemodynamic Stroke in Simultaneous Cardio Cerebral Infarction: A New Term for Cardiologist

Mochamad Yusuf; Ivan Satria Pratama; Ruth Gunadi; Achmad Firdaus Sani

doi:10.3889/oamjms.2021.6388

Authors

Mochamad Yusuf Department of Cardiology and Vascular Medicine, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, East Java, Indonesia https://orcid.org/0000-0003-2194-6850
Ivan Satria Pratama Department of Cardiology and Vascular Medicine, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, East Java, Indonesia https://orcid.org/0000-0002-6476-6131
Ruth Gunadi Department of Cardiology and Vascular Medicine, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, East Java, Indonesia https://orcid.org/0000-0001-7240-4897
Achmad Firdaus Sani Department of Neurology, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, East Java, Indonesia https://orcid.org/0000-0001-8623-5975

DOI:

https://doi.org/10.3889/oamjms.2021.6388

Keywords:

Cardio cerebral infarction, Myocardial Infarction, STEMI, Hemodynamic stroke

Abstract

We report an uncommon case of simultaneous cardio-cerebral infarction, due to Inferior – right ventricle ST Segment Elevation Myocardial Infarction (STEMI) with acute ischemic stroke. Incidence of cardio cerebral infarction is exceptionally rare, with an incidence rate as low as 0.009%. Hemodynamic compromise in patients with acute myocardial infarction may result in the cerebral blood flow reduction that cause hemodynamic stroke. Due to the rarity of this condition, there were no recommended therapeutics strategy. Mechanical reperfusion with PCI procedure may be a superior choice in the settings of acute cardio-cerebral infarction for restoring hemodynamic stability.

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