Clinical characteristics and treatment analysis of atypical acute myocardial infarction combining with cerebral Infarction

Objective To study the clinical characteristics and precautions on treating atypical acute myocardial infarction combining with cerebral infarction.Methods The clinical data from 21 patients with atypical acute myocardial infarction combining with cerebral infarction admitted into our hospital from January 2012 to January 2013 were retrospectively analyzed.The disease conditions/symptoms were analyzed statistically.Meanwhile,the characteristics of the diseases and complications during treatment were also observed. Results All patients were in middle-old ages. There were 9 patients with extensive anterior infarction of the heart,3 patients with anteroseptal infarction,4 patients with inferior wall infarction,4 patients with anterior jointing with inferior wall infarction,and 1 patient with inferior and posterior wall infarction.In analysis of cardiac function,the number of patients in grade Ⅱ,Ⅲ ,and Ⅳ was 8,4,and 6 cases respectively.The cerebral infarction occurred in all patients within one week after acute myocardial infarction. To be specific,there were 4 cases with brainstem infarction,6 cases with lacunar infarction,6 cases with infarction in basal ganglia region,3 cases with multiple cerebral infarctions,and 2 cases with cerebral lobe infarction.Many factors, among 21 patients,including medical histories of hyperlipidemia,hypertension,diabetes mellitus,smoking,and drinking alcohol,and higher blood viscosity could trigger cerebral infarction. Conclusion It is of great importance to strengthen the clinical monitoring and take measures to prevent the occurrence of cerebral infarction when the myocardial infarction patient presents with atrial fibrillation or hypotension.