47例脑卒中早期ECG、心肌酶谱和肌钙蛋白变化的意义

Observation on the changes of ECG, myocardial enzyme and troponin In 47 patients with acute brain stroke

目的探讨急性脑卒中早期心电图及心肌酶谱和肌钙蛋白临床变化特点。方法对47例急性脑卒中早期心电图及心肌酶谱和肌钙蛋白资料分析。结果47例急性脑卒中早期患者中,20例有心电图异常(42%),出血性卒中的心电图异常率高于缺血性卒中组(P<0.05);心肌酶谱改变16例(34.0%),20例心电图异常的患者中,有心肌酶谱改变的16例(80%),出血性卒中组心肌酶谱水平较缺血性卒中组高(P<0.05);20例心电图异常患者中cTnT阳性者为8例,其中出血性卒中组有5例,缺血性卒中组有3例,两组比较差异无显著意义;丘脑基底节区病灶合并心电图异常明显高于脑叶病灶(P<0.05)。结论急性脑卒中早期心电图及心肌酶谱和肌钙蛋白变化与脑血管疾病类型与部位有关。

Objective To observe the clinical features of early changes of electrocardiography,myocardial enzyme, troponin in patients with acute brain stroke. Methods The clinical data of electrocardiography,myocardial enzyme, troponin in 47 patients with acute brain stroke were analyzed. Results The rate of abnormal ECG in 47 patients with acute brain stroke was 42%（20/47） . Abnormal ECG rate in patients with acute hemorrhagic stroke was much higher than that in acute ischemic stroke （P〈0.05） The changes of myocardial enzyme was noted in 16 （34%） patients. There 8 out of 20 patients of abnormal ECG were positive for troponin. Conclusions Early changes of electrocardiography,myocardial enzyme, troponin in patients with acute brain stroke relate to type and position of cerebrovascular disease. Key words： Acute brain stroke; Cerebrocardiac syndrome; Early changes