Hontela S, Schwartz G
J Am Geriatr Soc. 1979 Mar;27(3):104-6. doi: 10.1111/j.1532-5415.1979.tb04136.x.
The incidence of cerebral lesions in relation to myocardial infarction (MI) was evaluated on the basis of data obtained from medical records and autopsy reports on 269 psychogeriatric patients, in a 13-year retrospective study. Among 84 demented patients with MI, brain infarcts and hemorrhages were found in 42 percent, and Alzheimer's disease in 17 percent; (combination in 8 percent). In contrast, among 70 demented patients without MI, brain infarcts and hemorrhages were found in 11 percent, and Alzheimer's disease in 43 percent; (combination in 6 percent). Therefore, when it is difficult to differentiate senile dementia (Alzheimer's disease) from dementia due to cerebrovascular impairment, data on the presence or absence of myocardial infarction may prove useful.
在一项为期13年的回顾性研究中，基于从269名老年精神科患者的病历和尸检报告中获得的数据，评估了与心肌梗死（MI）相关的脑损伤发生率。在84名患有MI的痴呆患者中，发现脑梗死和出血的占42%，患阿尔茨海默病的占17%；（两者合并的占8%）。相比之下，在70名未患MI的痴呆患者中，发现脑梗死和出血的占11%，患阿尔茨海默病的占43%；（两者合并的占6%）。因此，当难以区分老年痴呆（阿尔茨海默病）和脑血管损伤所致痴呆时，有无心肌梗死的数据可能会有所帮助。
