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European Heart Journal 1982 3(2):136-141;
Copyright © 1982 by the European Society of Cardiology.
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© 1982 by The European Society of Cardiology

Myocardial infarction in patients with acute cerebrovascular disease

M. VON ARBIN*,, M. BRITTON*, U. DE FAIRE*, C. HELMERS{dagger}, K. MIAH* and V. MURRAY*

*Departments of Medicine, Danderyds Hospital Danderyd
{dagger}Huddinge Hospital Stockholm, Sweden

Received 13 May 1981; revised 10 August 1981; .

Requests for reprints to: M. von Arbin, Department of Medicine, Danderyds Hospital, S-182 88 Danderyd, Sweden.

Abstract

The occurrence of acute myocardial infarction (AMI) was assessed by ECG and serum enzymes in 209 unselected patients with acute cerebrovascular disease (CVD), and in 209 sex and age-matched control patients during the first three hospital days. Enzyme curves suggestive of AMI were seen in 13 of the CVD patients and in three of the controls. Requirements for a definite diagnosis of AMI was only met by one of the CVD patients.

At autopsy, performed in 34 of the 37 deceased CVD patients, myocardial infarcts of various age were seen in 27 patients (79%). In about one-quarter, the myocardial infarction had occurred at approximately the same time as the stroke. In the controls, four out of five deceased patients were autopsied and two had signs of myocardial infarction.

It is concluded that AMIs are common in patients with acute CVD and despite conventional diagnostic procedures they often pass undiscovered.

Key Words: Myocardial infarction • cerebrovascular disease • ECG, enzymes


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