Concurrent cardio-cerebral infarction: Case report and current management strategies

Abstract

Concurrent cardio-cerebral infarction (CCCI) is a rare phenomenon in which an acute myocardial infarction (MI) and acute ischemic stroke (AIS) occur simultaneously. With a reported incidence ranging between 0.009 % to 0.9 %, this condition poses significant management challenges due to the competing need to rapidly restore perfusion to both the brain and heart. We present the case of a 71-year-old female with simultaneous left main coronary artery (LMCA) occlusion and ischemic stroke. Medical management with dual antiplatelet therapy (DAPT) and anticoagulation led to an excellent outcome. This case adds to the available literature on CCCI and highlights the importance of individualized care. A review of the literature reveals varied approaches to management, with no standardized treatment protocols established for CCCI.