背景 在60岁或60岁以上的脑梗塞患者中有60％患有主动脉弓粥样硬化性病变。这一研究的目的是要明确主动脉弓粥样硬化斑块是否脑梗塞复发和各种血管意外(如脑梗塞,心肌梗塞,周围血管栓塞和死于其他的血管疾病)的一个危险因素。 方法 在2～4年期间,随访连续331例60岁或60岁以上因脑梗塞而住院患者。对全部患者进行经食道超声心动图检查,明确 Background 60% of patients with cerebral infarction aged 60 years or older have atherosclerotic aortic arch disease. The aim of this study was to identify whether aortic arch atherosclerosis is a risk factor for recurrent cerebral infarction and various vascular accidents such as cerebral infarction, myocardial infarction, peripheral vascular embolism and death from other vascular diseases. Methods During a period of 2 to 4 years, 331 consecutive patients aged 60 or older with cerebral infarction were followed up. Transesophageal echocardiography was performed on all patients