Simultaneous ST-Segment Elevation Myocardial Infarction and Stroke: A Rare Case of Cardiocerebral Infarction

Cardiocerebral infarction is defined as the simultaneous or sequential occurrence of myocardial infarction and stroke. We present a 62-year-old woman with concurrent ST-segment elevation myocardial infarction and minor ischemic stroke. Coronary angiography revealed multivessel coronary artery disease, with the obtuse marginal branches (OM1 and OM2) identified as culprit lesions. Following multidisciplinary evaluation, heparin and dual antiplatelet therapy were initiated, leading to resolution of neurologic deficits and successful percutaneous coronary intervention of the OM1 lesion. This case highlights the complexity of managing simultaneous cardiac and neurologic emergencies.

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Publication Details

Journal
Annals of Internal Medicine Clinical Cases
Published
2025-10-01
DOI
https://doi.org/10.7326/aimcc.2025.0043
Primary Topic
Cardiac Structural Anomalies and Repair
Type
article
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article

Simultaneous ST-Segment Elevation Myocardial Infarction and Stroke: A Rare Case of Cardiocerebral Infarction

Michael Benz, Kimberly A. Skelding, Pragnesh Gadhvi, Anoohya Vangala et al.
Annals of Internal Medicine Clinical Cases
Cardiac Structural Anomalies and Repair
article

Simultaneous ST-Segment Elevation Myocardial Infarction and Stroke: A Rare Case of Cardiocerebral Infarction

Michael Benz, Kimberly A. Skelding, Pragnesh Gadhvi, Anoohya Vangala, Phanidhar Mogga, DHEERAJ PINNINTY, G Reethika
article en

Abstract

Cardiocerebral infarction is defined as the simultaneous or sequential occurrence of myocardial infarction and stroke. We present a 62-year-old woman with concurrent ST-segment elevation myocardial infarction and minor ischemic stroke. Coronary angiography revealed multivessel coronary artery disease, with the obtuse marginal branches (OM1 and OM2) identified as culprit lesions. Following multidisciplinary evaluation, heparin and dual antiplatelet therapy were initiated, leading to resolution of neurologic deficits and successful percutaneous coronary intervention of the OM1 lesion. This case highlights the complexity of managing simultaneous cardiac and neurologic emergencies.

Annals of Internal Medicine Clinical CasesVol. 4(10)
Newark Beth Israel Medical Center (US), Monmouth Medical Center (US), Jersey City Medical Center (US), St. Vincent's Medical Center (US)
Openalex Percentile: Top 56%
Cardiac Structural Anomalies and Repair
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Simultaneous ST-Segment Elevation Myocardial Infarction and Stroke: A Rare Case of Cardiocerebral Infarction — Michael Benz, Kimberly A. Skelding, et al. · Annals of Internal Medicine Clinical Cases (2025) | TGRS Research Map | TGRS