Myocardial infarction and stroke.

Journal Article (Journal Article)

We used a computer data bank to evaluate 740 consecutive patients admitted to a cardiac care unit with myocardial infarction. Stroke occurred in 18 (2.4%) patients in the hospital; the anterior circulation was involved in 76% of strokes. Hospital mortality was 61% in patients with stroke and 13% in patients without stroke. Atrial arrhythmia was a significant (p less than or equal to 0.03) risk factor for stroke, but peak creatine kinase and ventricular arrhythmia were not. Cardiac pump failure, apical or anterior-lateral myocardial infarction, and history of previous stroke were associated with an increased risk of stroke. Clinical and pathologic data suggested an embolic etiology for most strokes that complicate acute myocardial infarction.

Full Text

Duke Authors

Cited Authors

  • Komrad, MS; Coffey, CE; Coffey, KS; McKinnis, R; Massey, EW; Califf, RM

Published Date

  • November 1, 1984

Published In

Volume / Issue

  • 34 / 11

Start / End Page

  • 1403 - 1409

PubMed ID

  • 6493488

International Standard Serial Number (ISSN)

  • 0028-3878

Digital Object Identifier (DOI)

  • 10.1212/wnl.34.11.1403


  • eng

Conference Location

  • United States