Abstract
Acute ischemic stroke and coronary artery disease are the major causes of death in Palestine and in the world. The prevalence of coronary artery disease has been reported in one fifth of stroke patients. Although high incidence rate of acute myocardial infarction after recent ischemic stroke and the high risk of acute ischemic stroke after recent myocardial infarction has been reported in several clinical or observational studies. So that acute or recent problem in the heart or brain that could result in an acute infarction of the other. In this review we describe the definition and new classification of the cardio-cerebral infarction syndrome with 3 subtypes that reflect the definition, pathophysiology and treatment options.
Highlights
The incidence of acute ischemic stroke (AIS) after recent myocardial infarction (MI) during the hospital stay ranges from 0.7% to 2.2%. [1,2,3] AIS occurred more frequently in the first days after acute myocardial infarction (AMI), but incidence progressively decreased over time. [3,4,5] Brandi Witt et al, suggested that during hospitalization for MI 11.1 the AIS occurred per 1000 MI compared with 12.2 at one month and 21.4 at one year
[8] In this article we divided cardio-cerebral infarction syndrome into 3 types according to AIS or AMI diagnostic criteria, pathophysiology and treatment options according to recent clinical trials, metanalysis or case series
For patients with acute ischemic stroke of < 4.5 h duration and with history of ST-elevation myocardial infarction of more than one week to three months, there is insufficient evidence to make a recommendation, IV alteplase is reasonable if history of segment elevation myocardial infarction (STEMI) involving the right or inferior myocardium
Summary
The incidence of acute ischemic stroke (AIS) after recent myocardial infarction (MI) during the hospital stay ranges from 0.7% to 2.2%. [1,2,3] AIS occurred more frequently in the first days after acute myocardial infarction (AMI), but incidence progressively decreased over time. [3,4,5] Brandi Witt et al, suggested that during hospitalization for MI 11.1 the AIS occurred per 1000 MI compared with 12.2 at one month and 21.4 at one year. The incidence of acute ischemic stroke (AIS) after recent myocardial infarction (MI) during the hospital stay ranges from 0.7% to 2.2%. [1,2,3] AIS occurred more frequently in the first days after acute myocardial infarction (AMI), but incidence progressively decreased over time. The incidence of AMI after recent ischemic stroke was relatively low and unexpectedly highest during the first year after recent stroke. Coronary heart disease was the most substantial risk factor for AMI after ischemic stroke and conferred an approximate 5‐fold greater risk. The incidence of AMI patients who diagnosed acute ischemic stroke about 0.009%. [8] In this article we divided cardio-cerebral infarction syndrome into 3 types according to AIS or AMI diagnostic criteria, pathophysiology and treatment options according to recent clinical trials, metanalysis or case series The incidence of AMI patients who diagnosed acute ischemic stroke about 0.009%. [8] In this article we divided cardio-cerebral infarction syndrome into 3 types according to AIS or AMI diagnostic criteria, pathophysiology and treatment options according to recent clinical trials, metanalysis or case series
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