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stroke with myocardial infarction.
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stroke with myocardial infarction.
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patient with haemorrhagic stroke developed acute MI, what will be treatment protocol?.
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Forums  »  Open clinical  »  Stroke  »  stroke with myocardial infarction.

stroke with myocardial infarction.

posted at 18/7/2012 12:06 PM BST on bmj.com
Posts: 312
First: 2/6/2012
Last: 10/5/2013
patient with haemorrhagic stroke developed acute MI, what will be treatment protocol?.

Re: stroke with myocardial infarction.

posted at 25/7/2012 8:02 PM BST on bmj.com
Posts: 312
First: 2/6/2012
Last: 10/5/2013
i think , in a patient with haemorrhagic cvd with acute myocardial infarction, low molecular heparin can be used than thrombolytic and aspirin and acute MI should be treated first as it kills patient acutely. for haemorrhagic cvd only supportive treatment. whats your opinion?.

Re: stroke with myocardial infarction.

posted at 14/8/2012 9:27 PM BST on bmj.com
Posts: 312
First: 2/6/2012
Last: 10/5/2013
In Response to Re: stroke with myocardial infarction.:
i think , in a patient with haemorrhagic cvd with acute myocardial infarction, low molecular heparin can be used than thrombolytic and aspirin and acute MI should be treated first as it kills patient acutely. for haemorrhagic cvd only supportive treatment. whats your opinion?.
Posted by neuromedicine

Re: stroke with myocardial infarction.

posted at 14/8/2012 10:48 PM BST on bmj.com
Posts: 3045
First: 27/3/2012
Last: 20/5/2013
Yes, I agree with you neuromedicine in that we should first treat the AMI with low molecular weight heparin & to avoid throbolytic agents & aspirin.

Re: stroke with myocardial infarction.

posted at 15/8/2012 12:16 AM BST on bmj.com
Posts: 579
First: 8/6/2011
Last: 22/5/2013
  This is a night mare!  What if this happens in a primary care service without CT available. ?  With about 1/2 an hour from hospital . Can you depistate that the stroke is hemorrhagic ? What treatment do you start the patient then ?

Re: stroke with myocardial infarction.

posted at 15/8/2012 1:42 AM BST on bmj.com
Posts: 10
First: 18/11/2011
Last: 20/2/2013
Recently I as a cardiologist had to deal with one such patient and and we discussed with neurologists also.The consensus was that we use antiplatelet i.e.ASA. along with beta blockers and if necessary ACE-I.
The patient survived!
An extensive randomized study of one patient!

Forums » Open clinical » Stroke » stroke with myocardial infarction.