Kantor H L, Krishnan S C
Harvard Medical School, Boston, Massachusetts, USA.
Cardiol Clin. 1995 May;13(2):179-208.
The cardiologist and internist can make a major contribution to the care of patients with neurologic disease, both in terms of treating patients with symptomatic cardiac involvement and reducing mortality. This article highlights the need to recognize ECG abnormalities that may represent purely neurologic disease as well as indicate cardiac pathology that may be part of the neurophysiologic disease process. The role of cardiac emboli in stroke and the essential role of anticoagulation in stroke prevention have been discussed. Additionally, the importance of emboli in relation to endocarditis and the essential role of anticoagulation for stroke prevention in patients with prosthetic valves have been emphasized. Finally, the cardiac manifestations of several neuromyopathic diseases have been indicated, and the importance of cardiac issues in patient management decisions has been shown. The interplay of cardiac and neurologic concerns demonstrates how a collaboration of neurologists and cardiologists can yield rewarding results in resolving some of the more difficult problems in clinical medicine.
心脏病专家和内科医生在神经疾病患者的护理方面可做出重大贡献，无论是在治疗有症状性心脏受累的患者还是降低死亡率方面。本文强调了识别可能代表纯神经疾病的心电图异常以及指出可能是神经生理疾病过程一部分的心脏病理学的必要性。已经讨论了心脏栓子在中风中的作用以及抗凝在预防中风中的重要作用。此外，还强调了栓子与心内膜炎的关系以及抗凝在人工瓣膜患者预防中风中的重要作用。最后，指出了几种神经肌肉疾病的心脏表现，并表明了心脏问题在患者管理决策中的重要性。心脏和神经问题的相互作用表明，神经科医生和心脏病专家的合作如何能够在解决临床医学中一些更棘手的问题方面产生有益的结果。
