Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Homburg, Germany.
Clin Res Cardiol. 2010 Oct;99(10):609-25. doi: 10.1007/s00392-010-0200-4. Epub 2010 Aug 3.
The cardiological evaluation of patients with cerebral ischaemia is of great clinical importance because diseases of the heart and aorta represent important sources of embolism, because ischaemic stroke is an index event that can lead to the diagnosis of cardiovascular diseases and because the mortality and morbidity of stroke patients are determined by concomitant cardiac diseases. Despite the importance of cardiological examinations for patients with ischaemic strokes, the topic is only addressed by few prospective clinical studies. Therefore, this interdisciplinary consensus document was developed to summarise the available information and to make expert recommendations for the evaluation of cardiovascular risk markers, electrocardiographic examinations, echocardiography and the indications for further investigations of a cardiac disease.
对脑缺血患者进行心脏评估具有重要的临床意义,因为心脏和主动脉疾病是栓子的重要来源,而且缺血性脑卒中是可以导致心血管疾病诊断的标志性事件,还因为脑卒中患者的死亡率和发病率取决于伴发的心脏疾病。尽管心脏检查对缺血性脑卒中患者很重要,但很少有前瞻性临床研究涉及这个主题。因此,制定了这份跨学科共识文件,以总结现有信息,并为评估心血管风险标志物、心电图检查、超声心动图以及心脏疾病进一步检查的适应证提供专家建议。