摘要
目的 :探讨不同部位大脑半球脑梗死患者心电图与血浆肌酸激酶 同工酶 (CK MB)活性的变化。方法 :检测 15 6例首发急性大脑半球脑梗死患者的心电图和血浆CK MB活性 ,分析比较不同部位大脑半球梗死患者的心电图和血浆CK MB活性变化。结果 :右侧岛叶脑梗死患者快速心律失常和QTc延长发生率显著增加 ,左侧岛叶脑梗死患者ST段上升或下降显著增加 ,其他各种心电图改变各组间无明显区别。血浆CK MB活性升高亦主要见于岛叶梗死患者 ,血浆CK MB活性升高者心电图异常发生率明显增加 ,预后更差。结论 :造成心电图异常和血浆CK MB活性升高的大脑半球脑梗死部位主要是岛叶 ,对影响到岛叶的脑硬死患者应加强心肌保护和心脏监护。
Objective:The present study was attempt to assess the effects of different cerebral infarction localization on cardiac damages.Method:ECG recordings and plasma CK MB level were measured in 156 patients with hemispheric cerebral infarction in the acute phase.Result:The incidence of supraventricular arrhythmias and prolonged QTc was significantly increased in patient with right insular infarction than those in other regions. An significantly increased rate of ST segment upward or downward deviation was found in patients with left insular infarction than that in other regions. Plasma CK MB level rising was only shown in patient with insular infarction, and it presented similarly between right and left.Conclusion:The effects of hemispheric cerebral infarction on heart are mainly correlated with destruction of insular.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2001年第11期515-517,共3页
Journal of Clinical Cardiology
关键词
脑梗死
心电描记术
肌酸激酶同工酶
Cerebral infarction
Electrocardiography
Creatine kinase isoenzymes
