急性脑卒中并心肌梗死的临床特点及发病机制

目的探讨急性脑卒中(ACVD)并急性心肌梗死(AMI)的临床特点、发病机制及其相关性。方法对358例ACVD患者中36例合并AMI者作头颅CT,或MRI、EKG及心肌酶谱检查,并结合临床资料进行分析。结果ACVD并AMI患者与单纯ACVD患者相比,心电图异常率及死亡率高,更易出现心律失常和心力衰竭。结论ACVD与AMI有共同的病理基础,两者之间有密切的联系,两病并发时预后极差,AVCD患者需加强心脏功能监护,积极治疗原发病,防止另一疾病的发生。

Clinical Features and Pathological Mechanism of Acute Cerebral Apoplexy Combined with Acute Myocardial Infarction

[Objective] To explore the clinical features and pathological mechanism of acute cerebral apoplexy(ACA) combined with acute myocardial infarction(AMI) and their correlations.[Methods] 36 cases out of 358 ACA combined with AMI received skull CT,MRI,ECG and myocardium zymogram examination;analysis was made combined with clinical data.[Results] The rates of abnormal ECG and death were higher among ACA patients combined with AMI than that among ACA only;arrhythmia and heart failure are more likely to occur among the patients with the combination.[Conclusion] ACA and AMI share the identical pathological basis and close relationship.The complication of the two diseases results in ill prognosis.Cardiac function of the patients with ACA should be closely supervised in order to prevent the complication of MI.