Thiele R, Schneider J, Völker S, Waldmann G, Meier F
Abteilung für Internistische Intensivtherapie, Friedrich-Schiller-Universität Jena.
Z Gesamte Inn Med. 1989 Mar 15;44(6):179-83.
In 150 patients with an acute cerebrovascular insufficiency we asked the following questions: 1. How often appear together the cardiac decompensation and disturbances of cardiac rhythm, 2. symptoms of hypertrophy and disturbances of cardiac rhythm and 3. arteriosclerosis of the cerebral and coronary vessels in deceased patients. The number of patients examined showed 26.7% of patients in whom a combination of symptoms of cardiac decompensation and disturbances of cardiac rhythm was present. The combination of signs of hypertrophy in the electrocardiogram and disturbances of cardiac rhythm was registered 39 times (26.0%). The arteriosclerosis was found in 68.2% of the patients in post-mortem examination. There was a high correlation between the sclerosis of the intracranial cerebral brains (65.9%) and the sclerosis of the coronary vessels (75.0%). It is referred to the possibilities of the prevention of the cerebrovascular insufficiency and the early therapy of hypertony, the cardiac decompensation and disturbances of cardiac rhythm.
在150例急性脑血管供血不足患者中，我们提出了以下问题：1. 心脏代偿失调和心律失常同时出现的频率如何；2. 心脏肥大症状和心律失常情况；3. 已故患者的脑动脉和冠状动脉粥样硬化情况。接受检查的患者中，有26.7%的患者存在心脏代偿失调症状与心律失常的组合。心电图显示的肥大体征与心律失常的组合记录有39次（26.0%）。尸检发现68.2%的患者存在动脉硬化。颅内脑动脉硬化（65.9%）与冠状动脉硬化（75.0%）之间存在高度相关性。这涉及到预防脑血管供血不足以及对高血压、心脏代偿失调和心律失常进行早期治疗的可能性。
