[急性脑梗死患者动态心电图异常]
[Abnormal dynamic electrocardiogram in patients with acute cerebral infarction].
作者信息
Li C, Dong W
机构信息
Department of Neurology, The Second Affiliated Hospital of Chongqing University of Medical Science, Chongqing 400010.
出版信息
Zhonghua Nei Ke Za Zhi. 1999 Apr;38(4):239-41.
OBJECTIVE
To assess the effect of lesions of insular cortex on cardiac damages in patients with cerebral infarction.
METHODS
24-hour dynamic electrocardiogram recordings was measured were performed in 74 patients with hemispheric cerebral infarction in the acute phase and in 39 control subjects.
RESULTS
Supraventricular arrhythmias were significantly increased in groups of right insular infarction as compared with groups of lesions in other regions and with the control. A significantly increased rate of ST segment abnormality was found in groups of left insular infarction as compared with groups of lesions in other regions and with the controls.
CONCLUSION
The effect of hemispheric cerebral infarction on heart function are mainly correlated with destruction of insular or regions adjacent to the insular. Increased rate of supraventricular arrhythmias is associated with right insular infarction. While increased rate of ST segment abnormality is associated with left insular infarction.
目的
评估岛叶皮质损伤对脑梗死患者心脏损害的影响。
方法
对74例急性期半球性脑梗死患者及39例对照者进行24小时动态心电图监测。
结果
与其他区域损伤组及对照组相比，右侧岛叶梗死组室上性心律失常显著增加。与其他区域损伤组及对照组相比，左侧岛叶梗死组ST段异常率显著增加。
结论
半球性脑梗死对心功能的影响主要与岛叶或岛叶邻近区域的破坏有关。室上性心律失常发生率增加与右侧岛叶梗死有关。而ST段异常率增加与左侧岛叶梗死有关。
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