Wang T D, Wu C C, Lee Y T
Department of Internal Medicine, National Taiwan University, Hospital, 7, Taipei, ROC.
Int J Cardiol. 1997 Feb;58(3):308-11. doi: 10.1016/s0167-5273(96)02879-3.
Myocardial stunning has not been described in patients with cerebrovascular accidents. We present a patient in whom inferior wall hypokinesis, ST-segment elevations and Q waves developed after acute right hemisphere ischemic stroke. Total recovery ensued within 5 days. Coronary vasospasm induced by stroke-related sympathetic surge might be the cause of this cardiac event.
脑血管意外患者中尚未有心肌顿抑的相关描述。我们报告了一名患者,其在急性右半球缺血性卒中后出现下壁运动减弱、ST段抬高及Q波。5天内完全恢复。与卒中相关的交感神经兴奋引起的冠状动脉痉挛可能是这一心脏事件的原因。