Abdi Ishak Ahmed, Karataş Mesut, Abdi Ahmed Elmi, Hassan Mohamed Sheikh, Yusuf Mohamud Mohamed Farah
Department of Cardiology, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.
Department of Neurology, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.
Ann Med Surg (Lond). 2022 Jul 16;80:104172. doi: 10.1016/j.amsu.2022.104172. eCollection 2022 Aug.
The co-occurrence of acute ischemic stroke and acute myocardial ischemia; cardio-cerebral infarction (CCI) has been linked to increased morbidity and mortality. The incidence of these conditions to occur simultaneously has been reported to be less than 1% according to the published data. Left Ventricular Non-Compaction (LVNC), on the other hand, is characterized by large left ventricular (LV) trabeculae, a thin compacted layer, and deep intertrabecular recesses. In the inter-trabecular recesses, where blood flow is slow, cardiac mural thrombi may form, which can lead to systemic embolization.
In this report, we describe a 51-year-old male patient with a history of hypertension and diabetes who developed a non-ST segment elevated myocardial infraction and an acute ischemic stroke that were thought to be related to left ventricular hypertrabeculation.
Although it is rare, the simultaneous occurrence of myocardial infarction and an acute ischemic stroke can be fatal. There are numerous potential mechanisms for CCI, including cardiac thrombi-embolism, hypoperfusion during AMI. Both conditions have a narrow therapeutic window and management is very crucial.
To the best of the author's knowledge, this is the first reported case of cardiocerebral infraction (CCI) in the setting of non-compaction left ventricle. Early and precise diagnosis is critical to the successful management of these conditions.
急性缺血性卒中与急性心肌缺血同时出现，即心脑梗死（CCI），与发病率和死亡率增加有关。根据已发表的数据，这些情况同时发生的发生率据报道低于1%。另一方面，左心室心肌致密化不全（LVNC）的特征是左心室（LV）小梁粗大、致密层薄以及小梁间深陷凹。在小梁间深陷凹处，血流缓慢，可能形成心脏壁血栓，进而导致全身栓塞。
在本报告中，我们描述了一名51岁男性患者，有高血压和糖尿病病史，发生了非ST段抬高型心肌梗死和急性缺血性卒中，认为与左心室小梁增多有关。
虽然罕见，但心肌梗死和急性缺血性卒中同时发生可能是致命的。心脑梗死有多种潜在机制，包括心脏血栓栓塞、急性心肌梗死期间的低灌注。这两种情况的治疗窗都很窄，管理非常关键。
据作者所知，这是首次报道的非致密化左心室情况下的心脑梗死（CCI）病例。早期准确诊断对这些情况的成功管理至关重要。
