Myocardial infarction, complication of cerebral infarction

Health Description
Health Consultation Description: Hi! My father is 71 yes old congestive heart failure patient. 20 days back he had a cerebral infarction. After that his agitation and aggressive behaviour has increased. He was always a short tempered person abusive also sometimes. But in the past 15 days he has become violent to. He dozen sleep at all at night and his behaviour is compulsive too. Like every half an hour he goes to the toilet. We consulted a neurologist who prescribed quitipine 25 mg. But since after 3 days also his aggression increased our family doc changed to oleanz 10 mg. But I don't see any difference at all. Sleeping pills also don't work on him. Please help whether which mess is better or I should take a third opinion?


Expert Reply

Condition analysis:
Hi, Based on the details your father has developed post stroke behaviour abnormality ,which is not responding to anti psychotics, other cause of abnormal behaviour can be due to seizure phenomenon (a type of fit with behaviour abnormality), which only can respond to anti epileptic drugs

Instructions:
Myocardial infarction is a common complication of cerebral infarction. pathogenesis is unknown at present, research has shown that a lot of cerebral infarction patients in acute stage, often accompanied by myocardial ischemia, but the change can change after spent most of the patients in acute stage, some patients, may develop into a myocardial infarction.So, for cerebral infarction patients, we must carry on the routine ecg examination, such as myocardial infarction (mi) are detected, should deal with disease of heart head blood-vessel to treatment at the same time.



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 Key words:  Cerebral infarction

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