Neurológia pre prax 2/2009
Recurrent transient ischaemic attack as a manifestation of myocardial infarction
A 49-year-old female diabetic patient with hypertension presented to a neurological unit with a mild, recurrent central monoparesis of the right arm. Brain imaging failed to demonstrate any pathology. Electrocardiography (ECG) revealed an inferior wall scar. Echocardiography disclosed a left ventricular thrombus; coronarography showed a severe diffuse disease. Cardiac surgery consisting of aortocoronary bypass and thrombectomy was indicated. Cardiac diseases resulting in thrombus formation as well as investigations which are most beneficial in their detection are discussed.
Keywords: transient ischaemic attack, myocardial infarction, echocardiography.
