Concomitant acute myocardial infarction and ischemic cerebrovascular accidents has been rarely reported in the literature. In this report, we are describing a 74 year old male patient previous diabetic and hypertensive who presented to ER with a H/O sudden fall at home after which he had weakness of left leg, slurring of speech and left sided hemianopia after which a screening MRI revealed a Rt sided thalamic lacunar infarct. On further probing he revealed a vague epigastric pain and ECG revealed ST elevation in Lead II,III and AVF with atrial fibrillation & CVR. After that pt was urgently shifted to cath lab for percutaneous coronary intervention. This association can best be described as “cardio-cerebral infarction”. Early recognition of such cases is important and determines the patient’s further management and prognosis.

Keywords: Hemianopia; Myocardial Infarction; Lacunar Infarct; Cardio Cerebral Infarct; Diabetes Mellitus.