Affiliation:
1. Research Institute for Complex Issues of Cardiovascular Diseases;
Sochi City Hospital №4
2. Sochi City Hospital №4
3. District Cardiology Dispensary, Center for Diagnosis and Cardiovascular Surgery
Abstract
The present work is devoted to the analysis of modern publications on various aspects of the development and course of ischemic stroke in the presence of acute myocardial infarction. A literature search was conducted on the websites of cardiological and neurological societies, as well as on the PubMed, EMBASE, eLibrary databases using the keywords: myocardial infarction, acute coronary syndrome, stroke, acute cerebrovascular accident, myocardial infarction, acute coronary syndrome, stroke. The authors of this review found that although stroke is a relatively rare complication of myocardial infarction, its prevention is an extremely significant task, since it is associated with high mortality, disability and a significant increase in the cost of treatment. So, it is extremely important to detect thrombosis of the left ventricular cavity in a timely manner, to register preexisting atrial fibrillation that occurs earlier or for the first time, followed by the appointment of anticoagulant therapy. Timely reperfusion treatment, the use of statins and modern dual antithrombotic therapy can reduce the risk of developing cerebrovascular accident in patients with myocardial infarction. It is likely that a decrease in the activity of subclinical inflammation after myocardial infarction will also reduce the risk of stroke, as was recently shown in the COLCOT study. Currently, it remains relevant to search for new knowledge about the risk factors for stroke, which complicated the course of myocardial infarction, which will allow developing more effective and personalized preventive measures in a patient with acute coronary syndrome.
Publisher
Stolichnaya Izdatelskaya Kompaniyaizdat
Subject
Pharmacology (medical),Cardiology and Cardiovascular Medicine
Reference90 articles.
1. WHO. Cardiovascular diseases (CVDs). Key facts [cited by Jan 25, 2020]. Available from: https://www.who.int/ru/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).
2. Boehme A.K., Esenwa C., Elkind M.S. Stroke risk factors, genetics, and prevention. Circ Res. 2017;120(3):472-95. DOI:10.1161/CIRCRESAHA.116.308398.
3. Chichkova M.A., Kozlova O.S., Orlov F.V. Features of the combination of myocardial infarction and acute stroke. Astrakhan Medical Journal. 2016;11(1):55-63 (In Russ.)
4. Suslina Z.A., Fonjakin A.V., Geraskina L.A., et al. Practical Cardioneurology. Moscow: IMA-PRESS; 2010 (In Russ.)
5. Merkler A.E., Sigurdsson S., Eiriksdottir G., et al. Association Between Unrecognized Myocardial Infarction and Cerebral Infarction on Magnetic Resonance Imaging. JAMA Neurol. 2019;76(8):956- 61. DOI:10.1001/jamaneurol.2019.1226.