[急性心肌梗死患者的中风]
[Stroke in patients with acute myocardial infarction].
作者信息
Feĭgin V L, Bele'nkiĭ D I
出版信息
Klin Med (Mosk). 1989 Aug;67(8):86-9.
The analysis has been performed of 40 cases of acute myocardial infarction with concomitant stroke versus 26 cases of acute myocardial infarction alone. Being a complication of acute myocardial infarction in 0.94% of the cases, the stroke was ischemic in 95% and hemorrhagic in 5% of the patients. Association of the two events accounted for lethal outcomes in 80% of the cases. The principal factors of the stroke risk in myocardial infarction are suggested. They involve: an advanced age, cardiac arrhythmias, cardiogenic shock, diabetes mellitus, recurrent or transmural myocardial infarction, previous acute episodes of disturbed cerebral circulation, essential hypertension and hyperglycemia.
对40例急性心肌梗死合并中风患者与26例单纯急性心肌梗死患者进行了分析。中风作为急性心肌梗死的并发症，在0.94%的病例中出现，其中95%的患者为缺血性中风，5%为出血性中风。这两种事件的关联导致80%的病例出现致命后果。文中提出了心肌梗死中风风险的主要因素，包括：高龄、心律失常、心源性休克、糖尿病、复发性或透壁性心肌梗死、既往脑循环紊乱急性发作、原发性高血压和高血糖。
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