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[老年偏瘫患者的心脏(作者译)]

[The heart of the old hemiplegic patient (author's transl)].

作者信息

Steinmann B, Kunz E

出版信息

Aktuelle Gerontol. 1978 Dec;8(12):629-36.

PMID:33557
Abstract

The heart of the old hemiplegic patient is examined as follows: 1. The preapoplectic situation of the heart which often induces in a conclusive manner the beginning of a stroke, 2. the occurrence of heart troubles with the stroke itself and 3. the influence of rehabilitation measures and the heart function. Preexistent heart troubles are very frequent (in ca. 80%). Thereby the hypertension with a left ventricular hypertrophy and later with heart failure play an important role. The stroke itself especially in subarachnoidal bleedings can cause severe electrocardiographic anomalies. The telemetric controlled heart shows specially while rehabilitation more extrasystoles and alterations of repolarisation but usually do not impair the rehabilitation. With a systematic rehabilitation (training) the heart is most favourably influenced.

摘要

对老年偏瘫患者的心脏检查如下

  1. 中风前的心脏状况,其常以决定性方式诱发中风的发作;2. 中风发作时出现的心脏问题;3. 康复措施对心脏功能的影响。既往存在的心脏问题非常常见(约80%)。其中,伴有左心室肥厚进而发展为心力衰竭的高血压起重要作用。中风本身,尤其是蛛网膜下腔出血,可导致严重的心电图异常。遥测控制的心脏在康复期间尤其显示出更多的早搏和复极改变,但通常不会妨碍康复。通过系统的康复(训练),心脏受到的影响最为有利。

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