急性脑血管病与心律失常

An Electrocardiogram Analysis of Arrhythmia in 109 Cases with Acute Cerebrovascular Diseases

对近二年收治的109例急性脑血管病患者入院24h 内首次记录的心电图进行分析,发现异常改变者91例,异常率83.5%.其中心律失常与 ST-T 改变在心电图改变中同居首位,彼此差异无显著性(P>0.05).心律失常中以激励起源异常占优势,占心律失常的85.5%,其中主动性房性心律失常最为突出。本文讨论了急性脑血管病引起心律失常的原因及临床意义。

Electrocardiograms of 109 patients with acute cerebrovascular diseases were (?)ated and all data were taken in 24 hours after patients were sent to hospital.These results suggested that 91 cases had ab- normal ECG changes,accounting for 83.5% of the total.Both arrhythmia and ST-T changes were the commonest alteration (P>0.05).Arrhythmia with abnormity in impulsive origin occupied 85.5% of the 55 cases with arrhythmia,and atrial arrhythmia was a prominent clinical manifestation in many of them.The authors discuss the possible reasons for arrhythmia in the cases of acute cerebrovasular dis- eases and indicate that atrial arrhythmia is seemingly more characteristic than ST-T changes in identifi- cation of acute cerebrovascular diseases.