{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:57Z","timestamp":1753876257281,"version":"3.41.2"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T00:00:00Z","timestamp":1731628800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Sequential occurrences of acute ischaemic stroke in patients with acute myocardial infarction (MI) and vice versa have been reported, but not the simultaneous occurrence of both conditions. We report a case of simultaneous occurrence of MI and systemic embolism caused by a mechanism not reported to date.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 52-year-old female patient presented with concurrent chest pain, right arm weakness, and dysphasia. An electrocardiogram demonstrated ST-elevation MI. A computed tomography angiography ruled out aortic dissection and showed an ischaemic stroke and infarction in the right kidney and spleen. A right coronary thrombotic occlusion at the ostium was successfully recanalized. Transoesophageal echocardiography showed preserved left ventricular function with no intracardiac thrombi.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The reported case presentation does not align with the mechanisms typically associated with simultaneous MI and stroke. The most plausible hypothesis is that the thrombus in the right coronary ostium extended into the aorta, resulting in a concurrent systemic embolism.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae605","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T11:22:41Z","timestamp":1731669761000},"source":"Crossref","is-referenced-by-count":0,"title":["Concomitant myocardial infarction and systemic embolism associated with thrombosis of the right coronary ostium: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1191-0523","authenticated-orcid":false,"given":"Fl\u00e1vio Danni","family":"Fuchs","sequence":"first","affiliation":[{"name":"Division of Cardiology, Graduate Program in Cardiology, School of Medicine, Hospital de Cl\u00ednicas de Porto Alegre, Universidade Federal do Rio Grande do Sul , Ramiro Barcelos 2350, Porto Alegre, RS 90035-903 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 Barcellos","family":"Amon","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Graduate Program in Cardiology, School of Medicine, Hospital de Cl\u00ednicas de Porto Alegre, Universidade Federal do Rio Grande do Sul , Ramiro Barcelos 2350, Porto Alegre, RS 90035-903 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"An\u00edbal Pires","family":"Borges","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Graduate Program in Cardiology, School of Medicine, Hospital de Cl\u00ednicas de Porto Alegre, Universidade Federal do Rio Grande do Sul , Ramiro Barcelos 2350, Porto Alegre, RS 90035-903 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Costa","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Graduate Program in Cardiology, School of Medicine, Hospital de Cl\u00ednicas de Porto Alegre, Universidade Federal do Rio Grande do Sul , Ramiro Barcelos 2350, Porto Alegre, RS 90035-903 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandro Cadaval","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Graduate Program in Cardiology, School of Medicine, Hospital de Cl\u00ednicas de Porto Alegre, Universidade Federal do Rio Grande do Sul , Ramiro Barcelos 2350, Porto Alegre, RS 90035-903 ,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,11,15]]},"reference":[{"key":"2024122016501977100_ytae605-B1","doi-asserted-by":"crossref","first-page":"e017693","DOI":"10.1161\/JAHA.120.017693","article-title":"Temporal trends, predictors, and outcomes of acute ischemic stroke in acute myocardial infarction in the United States","volume":"10","author":"Aggarwal","year":"2021","journal-title":"J Am Heart Assoc"},{"key":"2024122016501977100_ytae605-B2","doi-asserted-by":"crossref","first-page":"2931","DOI":"10.1161\/STROKEAHA.117.018408","article-title":"Incidence and outcomes of myocardial infarction in patients admitted with acute ischemic stroke","volume":"48","author":"Alqahtani","year":"2017","journal-title":"Stroke"},{"key":"2024122016501977100_ytae605-B3","doi-asserted-by":"crossref","first-page":"1012345","DOI":"10.3389\/fcvm.2022.1012345","article-title":"Concurrent acute myocardial infarction and acute ischemic stroke: case reports and literature review","volume":"9","author":"Bao","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"2024122016501977100_ytae605-B4","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/jcecho.jcecho_68_21","article-title":"Nonbacterial thrombotic endocarditis with multiple systemic emboli in a patient with primary lung cancer","volume":"32","author":"Benedetti","year":"2022","journal-title":"J Cardiovasc Echogr"}],"container-title":["European Heart Journal - 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