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.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Dutta M, Das P, Steinhubl R. Incidence and prevention of ischemic stroke following myocardial infarction : Review of current literature. Cerebrovasc Dis. 2006;22(5-6):331-9. https://doi.org/10.1159/000094847 PMid:16888371 DOI: https://doi.org/10.1159/000094847

Obaid O, Brancheau D. Simultaneous acute anterior ST-elevation myocardial infarction and acute ischemic stroke of left middle cerebral artery : A case report. Am J Case Rep. 2019;20:776-9. https://doi.org/10.12659/ajcr.916114 PMid:31154453 DOI: https://doi.org/10.12659/AJCR.916114

Kijpaisalratana N, Chutinet A, Suwanwela NC. Hyperacute simultaneous cardiocerebral infarction: Rescuing the brain or the heart first? Front Neurol. 2017;8:1-7. https://doi.org/10.3389/fneur.2017.00664 PMid:29270151 DOI: https://doi.org/10.3389/fneur.2017.00664

Akinseye OA, Shahreyar M, Heckle MR, Khouzam RN. Simultaneous acute cardio-cerebral infarction: Is there a consensus for management? Ann Transl Med. 2018;6(1):7. https://doi.org/10.21037/atm.2017.11.06 PMid:29404353 DOI: https://doi.org/10.21037/atm.2017.11.06

Gungoren F, Besli F, Tanriverdi Z, Kocaturk O. Optimal treatment modality for coexisting acute myocardial infarction and ischemic stroke. Am J Emerg Med. 2019;37(4):795.e1-4. https://doi.org/10.1016/j.ajem.2018.12.060 PMid:30612780 DOI: https://doi.org/10.1016/j.ajem.2018.12.060

Witt BJ, Ballman KV, Brown RD, Meverden RA, Jacobsen SJ, Roger VL. The incidence of stroke after myocardial infarction : A meta-analysis. Am J Med. 2006;119(4):354.e1-9. PMid:16564779 DOI: https://doi.org/10.1016/j.amjmed.2005.10.058

Hornung M, Franke J, Gafoor S, Sievert H. Cardioembolic stroke and post myocardial infarction stroke. Cardiol Clin. 2016;34(2):207-14. https://doi.org/10.1016/j.ccl.2015.12.003 PMid:27150168 DOI: https://doi.org/10.1016/j.ccl.2015.12.003

Klijn CJ, Kappelle LJ. Hemodynamic stroke : Clinical features, prognosis, and management. Lancet Neurol. 2010;9(10):1008-17. https://doi.org/10.1016/s1474-4422(10)70185-x PMid:20864053 DOI: https://doi.org/10.1016/S1474-4422(10)70185-X

Bladin CF, Chambers BR. Frequency and pathogenesis of hemodynamic stroke. Stroke. 1994;25(11):2179-82. https://doi.org/10.1161/01.str.25.11.2179 PMid:7974542 DOI: https://doi.org/10.1161/01.STR.25.11.2179

Shi J, Meng R, Konakondla S, Ding Y, Duan Y, Wang B, et al. Cerebral watershed infarcts may be induced by hemodynamic changes in blood flow. Neurol Res. 2017;39(6):538-44. https://doi.org/10.1080/01616412.2017.1315499 PMid:28393628 DOI: https://doi.org/10.1080/01616412.2017.1315499

Juergenson I, Mazzucco S. A typical example of cerebral watershed infarct. Clin Pract. 2011;1(4):1-2. https://doi.org/10.4081/cp.2011.e114 PMid:24765355 DOI: https://doi.org/10.4081/cp.2011.e114

Jauch EC, Saver JL, Adams HP, Bruno A, Connors JJ, Demaerschalk BM, et al. Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American heart association/American stroke association. Stroke. 2013;44(3):870-947. https://doi.org/10.1161/str.0b013e318284056a PMid:29367334 DOI: https://doi.org/10.1161/STR.0b013e318284056a

Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European society of cardiology (ESC). Eur Heart J. 2018;39(2):119-77. https://doi.org/10.5603/kp.2018.0041 PMid:28886621 DOI: https://doi.org/10.5603/KP.2018.0041

Lanzer P, Widimsky P. Ischaemic stroke and ST-segment elevation myocardial infarction : Fast-track single-stop approach. Eur Heart J. 2015;36(35):2348-55. https://doi.org/10.1093/eurheartj/ehv217 PMid:26038589 DOI: https://doi.org/10.1093/eurheartj/ehv217