Illyés G, Herpai Z
János Kórház, Kórbonctani Osztály, Budapest.
Orv Hetil. 1991 Apr 30;132(17):911-4, 917.
The authors present a clinico-pathological study on 21 patients who died in acute cerebrovascular diseases. The main myocardial lesions were focal hemorrhages, contraction band necroses and myocarditis. The ECG abnormalities and the pathogenesis of the cardiopathy are discussed on the basis of their investigations and dates of references. Their conclusions is that the heart damages are modulated by catecholamines. The occurrence of this cardiopathy should be prevented by beta-blockers, so the life-expectancy of patients and the number of heart donors could increase.
作者对21例死于急性脑血管疾病的患者进行了临床病理研究。主要的心肌病变为局灶性出血、收缩带坏死和心肌炎。基于他们的研究及参考文献数据,对心电图异常和心脏病的发病机制进行了讨论。他们的结论是心脏损害受儿茶酚胺调节。这种心脏病的发生可用β受体阻滞剂预防,这样患者的预期寿命和心脏供体数量可能会增加。