Kumar As Praveen, Babu E, Subrahmanyam Dk
Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
J Neurosci Rural Pract. 2012 May;3(2):204-6. doi: 10.4103/0976-3147.98250.
The electrocardiac abnormalities following acute stroke are frequent and seen in both ischemic and hemorrhagic stroke. The changes seen in electrocardiogram (ECG) consist of repolarization abnormalities such as ST elevation, ST depression, negative T waves, and QT prolongation. Among tachyarrhythmias, atrial fibrillation is the most common and occurrence of focal atrial tachycardia is very rare though any cardiac arrhythmias can follow acute stroke. We report a case of focal atrial tachycardia following acute ischemic stroke in 50-year-old female without structural heart disease, and their mechanisms and clinical implications.
急性卒中后的心电异常很常见，在缺血性卒中和出血性卒中中均可见到。心电图（ECG）的变化包括复极异常，如ST段抬高、ST段压低、T波倒置和QT间期延长。在快速性心律失常中，房颤最为常见，尽管任何心律失常都可能继发于急性卒中，但局灶性房性心动过速的发生非常罕见。我们报告一例50岁无结构性心脏病的女性急性缺血性卒中后发生局灶性房性心动过速的病例，以及其机制和临床意义。
