Book review

https://doi.org/10.20471/acc.2024.63.s1.17

Two Acute Stemis and Two Acute Ischemic Strokes in the Same Patient within Five Days – What Went Wrong?

Valentina Slivnjak ; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapina, Croatia; Faculty of Medicine, JJ Strossmayer University Osijek, Osijek, Croatia
Igor Šesto ; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapina, Croatia; Faculty of Medicine, JJ Strossmayer University Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University Osijek, Osijek, Croatia
Alan Jelić ; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapina, Croatia; Faculty of Medicine, JJ Strossmayer University Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University Osijek, Osijek, Croatia
Vladimir Kalousek ; Department of Radiology, Subdivision of Interventional Neuroradiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Dora Cerovec ; Department of Cardiology, Special Hospital for Medical Rehabilitation Krapinske Toplice, Krapina, Croatia; J. J. Strossmayer University of Osijek, Faculty of Medicine, OsijekCroatia
Andrija Škopljanac Mačina ; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapina, Croatia; Faculty of Medicine, JJ Strossmayer University Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University Osijek, Osijek, Croatia
Krešimir Štambuk ; Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice, Krapina, Croatia; Faculty of Medicine, JJ Strossmayer University Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University Osijek, Osijek, Croatia *

* Corresponding author.

Abstract

It is not uncommon for patients to suffer from both acute myocardial infarction and
acute stroke during the hospitalization. According to some studies, about 12% of the elderly population
initially hospitalized for acute ischemic stroke also develop type-1 acute myocardial infarction during the
same hospitalization. On the other hand, about 0.9% of patients hospitalized for acute coronary syndrome
develop acute stroke during the same hospitalization1. The therapeutic approach to such “overlapping” patients
is challenging, especially if we also take into account a high risk of bleeding and/or active bleeding.
Therefore, interdisciplinary collaboration between cardiology, neurology and interventional neuroradiology
is of key importance. Timely intervention and adequate concomitant drug therapy (primarily antiplatelet
and anticoagulant therapy) determine treatment outcomes and long-term results. In our recent
clinical work, we treated a patient with a series of acute cardiac and cerebral incidents presenting multiple
therapeutic dilemmas, who ultimately had an unfavourable neurological outcome.

Keywords

STEMI; Anaemia,; Antiplatelet drugs; Ischemic stroke; Thrombectomy

Hrčak ID:

321315

URI

https://hrcak.srce.hr/321315

Publication date:

1.3.2024.

Article data in other languages: croatian

Visits: 151 *