急性脑血管病并发脑性假性心肌梗死24例临床分析

目的 探讨急性脑血管病（ACVD）后脑性假性心肌梗死（MI）的心电图及脑心综合征的发病机制。方法 结合文献，对24例脑性假性MI的临床资料进行回顾性分析。结果 心电图大多数为异常Q波不伴心肌酶增高，少数出现酷似MI样改变且心肌酶增高，可以从QRS波形态上的动态变化结合心肌酶改变鉴别假性MI与MI。结论 脑性假性心肌梗死患者临床症状不典型，通过早期发现及时治疗，预后良好。

Clinical study of 24 cases with acute cerebral vessel disease complicated by false myocardial infarction

Objective To study the electrocardiographic characteristics of acute cerebral vessel disease (ACVD) complicated by false myocardial infarction(FMI) and the related mechanism of cerebrocardial syndrome.Methods According to the documents, the clinical data of twenty-four cases with ACVD complicated by FMI were retrospectively analyzed.Results In most cases, the ECG showed abnormal Q waves not accompanied by the raise of myocardial enzymes. Only a few cases' ECG were exactly like the ECG of MI accompanied by the raise of myocardial enzymes. We could distinguish between FMI and MI by the dynamical changes of QRS waves and myocardial enzymes. Conclusion The results show that symptoms of FMI occurring in ACVD patients are not typical. The prognoses are good due to early diagnosis and treatment.