[急性脑循环障碍中的心律失常]
[Heart rhythm disorders in acute cerebral circulatory disorders].
作者信息
Dracheva Z N, Riabova M I, Iablokova M S, Basilaia N Sh
出版信息
Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(11):1616-21.
The authors studied 101 patients with a combination of acute disorders of brain circulation and changes in the rhythm of heart activity in the form of sinus tachycardia, extra-systolia, fluttering arythmia. In ischemic strokes fluttering arythmia was encountered quite frequently while as in hemmorhages it was almost never seen. In 20 cases disorders of heart rhythm appeared following several days or more after the stroke. These data permit to assume that disorders of rhythm in the heart activity may be one of the pathogenetical factors of acute disorders of brain circulation. Their appearance after strokes is most frequently associated with signs of acute or exacerbated coronary insufficiency. Flutter arythmia in patients with strokes should be taken into consideration indifferential diagnosis of brain haemmorhages and infarctions.
作者研究了101例患有脑循环急性障碍并伴有窦性心动过速、早搏、心房扑动等心脏活动节律变化的患者。在缺血性卒中中，心房扑动相当常见，而在出血性卒中中几乎从未见过。20例患者的心律紊乱在卒中数天或更长时间后出现。这些数据表明，心脏活动的节律紊乱可能是脑循环急性障碍的发病因素之一。它们在卒中后的出现最常与急性或加重的冠状动脉供血不足的体征相关。卒中患者的心房扑动在脑出血和梗死的鉴别诊断中应予以考虑。
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