| 脑心综合征患者的心电图及心肌损伤标志物的变化 |
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| 引用本文： | 李宏治,张宝成,钟志越.脑心综合征患者的心电图及心肌损伤标志物的变化[J].中国心脏起搏与心电生理杂志,2011,25(5):416-417. |
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| 作者姓名： | 李宏治 张宝成 钟志越 |
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| 作者单位： | 复旦大学附属金山医院ICU,上海,200540 |
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| 摘 要： | 目的探讨脑卒中患者发生脑心综合征时,心电图(ECG)与心肌酶谱、肌钙蛋白-T(CTnT)等心肌损伤标志物的变化及意义。方法检测发生脑心综合征的135例脑卒中患者的ECG、心肌酶谱与CTnT,并对不同损伤部位、不同病种的临床资料进行分析。结果脑卒中后ECG改变在病后1周内发生率84.4%,其与脑损害部位有关,靠近基底节及丘脑的部位病变时其心电图异常率高;丘脑损伤以早搏多见,延髓损伤以心动过缓多见,而基底节区则以快速型心律失常多见;心肌酶谱异常者CK-MB升高为55.5%,肌钙蛋白T 24 h内升高者46.7%。结论脑心综合征表现为早期心电图异常与心肌损伤标志物的升高。
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| 关 键 词： | 心血管病学 脑心综合征 脑卒中 心肌酶 心电图 |
Change of electrocardiogram and markers of myocardial injury in patients with cerebro-cardiac syndrome. |
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| LI Hong-zhi,ZHANG Bao-cheng,ZHONG Zhi-yue.Change of electrocardiogram and markers of myocardial injury in patients with cerebro-cardiac syndrome.[J].Chinese Journal of Cardiac Pacing and Electrophysiology,2011,25(5):416-417. |
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| Authors: | LI Hong-zhi ZHANG Bao-cheng ZHONG Zhi-yue |
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| Institution: | LI Hong-zhi,ZHANG Bao-cheng,ZHONG Zhi-yue.Department of ICU,Jinshan Hospital Affiliated Fudan University,Shanghai 200540,China |
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| Abstract: | Objective To investigate the change and significance of electrocardiogram(ECG) and markers of myocardial injury such as myocardial enzymes and troponin-T(CTnT) in affected patients with cerebrocardiac syndrome(CCS) caused by cerebral stroke.Methods In one hundred and thirty-five patients with CCS,the ECG,myocardial enzymes and CTnT,and clinical data of different injury parts and different kinds of diseases were analyzed.Results The incidence of ECG changes within 1 week after stroke was 84.4%.The parts of t... |
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| Keywords: | Cardiology Cerebrocardiac syndrome Stroke Creatine kinase Electrocardiogram |
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