Repeated chest pain, warning of heart attack and stroke

Mr. LVL 69 years old, from Vinh Long, has symptoms of chest heaviness in the area behind the sternum, chest pain that recurs many times.
The family took the patient to the emergency department at a lower-level hospital, after receiving and preliminary diagnosis, the patient was transferred to Can Tho Central General Hospital with a diagnosis of acute myocardial infarction with type 2 diabetes and type 2 diabetes. hypertension.

When going to the emergency department, Can Tho Central General Hospital , the doctor immediately consulted with the emergency cardiac intervention team. The patient is indicated for emergency coronary intervention.

At the time of preparing to start catheterization for coronary intervention, the intervention team found that the patient was completely paralyzed on the left side of the body and had difficulty speaking.

Considering that this is a rare case between acute myocardial infarction (caused by coronary artery occlusion) and acute cerebral infarction (due to occlusion of a blood vessel in the brain), the cerebrovascular intervention team was immediately alerted to co-administer the treatment of the patient.

The results of the CT scan of the brain examined at the intervention room showed that it was consistent with the diagnosis of a combination of acute cerebral infarction.

The cardiac intervention team in about 40 minutes completed angioplasty of the blocked coronary artery and placed a stent, helping to reestablish blood flow to the heart. Immediately after that, the brain vascular intervention team took a scan to detect the occlusion of the right middle cerebral artery, the procedure to remove the thrombus and re-open the blocked blood vessel with a time of 20 minutes.

The results of magnetic resonance imaging the next day showed that the blocked cerebral blood vessel had re-opened well.

Currently, the patient is awake, has stable vital signs, no chest pain, no speech disorder, and slight weakness in the left half of the body.

According to Dr. BS Ha Tan Duc, Head of Stroke Department, Can Tho Central General Hospital, the rate of in-hospital stroke after myocardial infarction was recorded with a frequency of 1.4-1.5% but tended to be little changed. changed over the years.

However, the mortality rate during hospitalization for this group of patients is as high as 25%. The main cause of death was cardiogenic shock, septic shock, respiratory failure, kidney failure, heart failure.

Some risk factors make patients with myocardial infarction more likely to have a stroke, including: the elderly, female gender, atrial fibrillation, heart failure, diabetes, chronic kidney disease, and atherosclerosis.

Both conditions require intervention as soon as possible to reduce the risk of death.

According to doctors, this is a serious condition that requires emergency intervention and the use of specific treatment regimens and methods.

Early coronary revascularization intervention, detection of possible stroke risks during hospital stay as well as timely intervention for stroke treatment are key factors in increasing patient survival rates. , helping patients limit dangerous complications and sequelae.

Heber Dicki

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