Acute extensive anterior myocardial infarction after medullary infarction:a case report
10.3969/j.issn.1004-8812.2025.09.008
- VernacularTitle:延髓梗死后急性广泛前壁心肌梗死1例
- Author:
Pei-xun HE
1
;
Yan-ming LIU
;
Yi SUN
;
Peng WU
;
Lan WANG
;
Xue-yong LI
;
Jun-jie YANG
;
Wei-nan ZHAO
Author Information
1. 中国人民解放军陆军第八十一集团军医院心内科,河北 张家口 075000
- Publication Type:Journal Article
- Keywords:
Acute medullary infarction;
Dorsal lateral medullary syndrome;
Horner syndrome;
Acute myocardial infarction
- From:
Chinese Journal of Interventional Cardiology
2025;33(9):536-540
- CountryChina
- Language:Chinese
-
Abstract:
The medulla oblongata,situated at the caudal portion of the brainstem,serves as a critical regulatory center responsible for maintaining fundamental vital functions including respiratory and cardiovascular homeostasis.As a pivotal hub within the autonomic nervous system,it orchestrates the coordinated control of afferent and efferent neural pathways.Dysfunction of this region may precipitate life-threatening cardiorespiratory arrest,associated with substantial mortality rates.This case report presents a patient who developed acute extensive anterior myocardial infarction during treatment with dual antiplatelet therapy and moderate-intensity statins following acute medullary infarction.It is hypothesized that the pathogenesis may involve the acceleration of plaque erosion by the stroke-heart syndrome.This clinical case provides valuable insights into the complex neurocardiac interplay,particularly highlighting the imperative for enhanced recognition of brain-heart axis interactions in cerebrovascular pathology.
