• La Tunisie médicale · Jan 2004

    Case Reports

    [Myocardial infarction revealed by ischemic stroke].

    • Salma Longo, Fethia Mghaieth, Sondos Kraiem, Mohamed Hmem, Kaïs Battikh, Youssef Ben Ameur, Mouna Terras, Lilia Bouraoui, and Mohamed Lotfi Slimane.
    • Service de cardiologie Hôpital Habib Thameur, Montfleury, Tunis.
    • Tunis Med. 2004 Jan 1;82 Suppl 1:176-9.

    AbstractIschemic cerebral infarction associated with myocardial infarction is yet a real diagnosis challenge. If during the acute myocardial phase the mechanism is mostly embolic, at long-term, the mechanism is not clearant and other causes should be searched. We report a 50 year old man with ischaemic stroke with strong evidence of myocardial infarction in the late phase with wall-motion abnormality and mural clot revealed by echocardiography and Q waves. Atrial fibrillation was suspected and no other abnormalities could be found. The diagnosis of cardio-embolic ischaemic stroke could not be made with certainly.

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