Concurrent Acute Ischemic Stroke and Myocardial Infarction Associated With Atrial Fibrillation

Jangwon Lee; Won Yeol Choi; Gyu-Tae Park; Kyung-Taek Park; Hae-Bong Jeong; Hoyoun Won

doi:10.1016/j.jaccas.2023.102145

Concurrent Acute Ischemic Stroke and Myocardial Infarction Associated With Atrial Fibrillation

JACC Case Rep. 2024 Jan 3;29(1):102145. doi: 10.1016/j.jaccas.2023.102145.

Authors

Jangwon Lee¹, Won Yeol Choi¹, Gyu-Tae Park¹, Kyung-Taek Park¹, Hae-Bong Jeong², Hoyoun Won¹

Affiliations

¹ Division of Cardiology, Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
² Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

Abstract

An 85-year-old man was admitted with dysarthria. Electrocardiography showed atrial fibrillation and prominent ST-segment elevation in V₂-V₆. Multiple acute cerebral infarctions were observed in brain images. Coronary angiography showed total occlusion of the mid left anterior descending artery. After thrombus aspiration, no atherosclerotic changes were observed on intravascular ultrasound.

Keywords: atrial fibrillation; myocardial infarction; stroke.

Publication types

Case Reports