"Heart"Shaped Medullary Infarction Complicated with Acute Myocardial Infarction:A Case Report
Cerebral infarction and acute myocardial infarction are both ischemic vascular diseases,with common risk factors,and may occur simultaneously or successively.Medullary infarction induces autonomic nervous dysfunction that affects cardiac nerves,and stress response after infarction can also lead to myocardial ischemic infarction.This paper reported the diagnosis and treatment process of a patient with bilateral medial medullary infarction complicated with acute myocardial infarction.The patient had no lesions on the MRI examination in the early stage of the disease,and the"heart"shaped infarct was found after several days of MRI reexamination.After antiplatelet aggregation and lipid-regulating treatment,there was still limb hemiplegia.This case emphasizes that patients with cerebral infarction should be given detailed physical examination,accessory examination and comprehensive evaluation of cardiac indicators to prevent misdiagnosis and missed diagnosis.
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