Myocardial Infarction Complicated by Ischemic Stroke: Risk Factors, Prognosis, Unresolved Problems and Possible Methods of Prevention

Author:

Zykov M. V.1ORCID,Butsev V. V.2ORCID,Suleymanov R. R.3

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.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3