脑血管疾病后的心脏发现
Marco H Rohner1, Catherine Gebhard2, Andreas Luft1,3
1Department of Neurology University Hospital Zurich and University of Zurich Zurich Switzerland.
Journal of the American Heart Association
|August 27, 2024
概括
心脏病发现在中风后很常见,即使没有先前的心脏问题. 电心电图变化在缺血性中风患者中最常见,突出显示在任何脑血管事件后需要进行心脏评估.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 神经心脏病学 神经心脏病学
背景情况:
- 心脏并发症是中风后大脑与心脏相互作用的一个研究不足的方面.
- 了解不同脑血管事件中的心脏表现是至关重要的.
研究的目的:
- 为了调查和比较患有急性缺血性中风,过渡性缺血性中风和出血性中风的患者的心脏发现.
- 评估脑血管事件后心脏异常的频率和类型.
主要方法:
- 对721名 2013-2020 年间接受治疗的缺血性中风,过渡性缺血性中风或出血性中风患者的回顾性分析.
- 在发生事件后一年内,对临床报告进行新的心脏病发现 (心律不整,心肌变化,膜异常,冠状动脉 perfusion insufficiency) 的查.
- 使用皮尔森千平方或费舍尔精确测试,在不同类型的脑血管事件中对心脏发现的统计比较.
主要成果:
- 电心电图 (ECG) 的变化在81.7%的缺血性中风,71.4%的短暂缺血性中风和55.8%的出血性中风患者 (P<0.001) 中观察到.
- 所有组中都频繁出现肌心脏变化:60.9%的缺血性中风,59.2%的过渡性缺血性中风,44.2%的出血性中风 (P=0.396).
- 在两组之间注意到了心电图变化的显著差异,缺血性中风的患病率最高.
结论:
- 心脏病发现在患有脑血管疾病的患者中很普遍,不管他们是否已经患有心脏病或怀疑心血管血栓的起源.
- 在缺血性中风和过渡性缺血性心脏病发作患者之间观察到类似的心脏表现模式.
- 建议对所有患有急性脑血管事件的患者进行全面的心脏检查,以检测潜在的心脏并发症.
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