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众所周知,卒中可能是急性心肌梗塞(AMI)潜在的灾难性并发症。据报道,AMI住院期间卒中发生率为0.9％～2.4％,约33％的病例于AMI发作后24h内发生卒中,70％在第1周。左室血栓在下壁梗塞时较前壁常见,使脑梗塞的危险性增加。笔者旨在研究心肌梗塞部位与卒中之间的关系。 1981～1983年因AMI住院者5839例,AMI后第1年内100例(1.7％)发生卒中或短暂性脑缺血发作(TIA)。其中卒中者70例,TIA者30例。54例发生于AMI急性期,48例发生于出院后,其中2例于急性期及出院后分别发生脑血管意外。与未发生卒中者比较,卒中或TIA者年龄偏大,有慢性房颤或既往有卒中史者较多,住院期间发现心脏增大、肺瘀血或肺水肿、阵发性房颤、谷草转氨酶及乳酸脱氢酶改变者多见。
It is well-known that stroke can be a potentially catastrophic complication of acute myocardial infarction (AMI). It has been reported that the incidence of stroke during hospitalization for AMI ranged from 0.9% to 2.4%. About 33% of the cases had a stroke within 24 hours after AMI onset and 70% during the first week. Left ventricular thrombi are more common in the inferior wall than in the anterior wall, increasing the risk of cerebral infarction. The author aims to study the relationship between myocardial infarction and stroke. From 1981 to 1983, 5839 patients were hospitalized for AMI. One stroke (stroke) or transient ischemic attack (TIA) occurred in 100 patients (1.7%) in the first year after AMI. Among them, 70 cases were stroke and 30 cases were TIA. 54 cases occurred in the acute phase of AMI, 48 cases occurred after discharge, of which 2 cases of cerebrovascular accident occurred in acute phase and after discharge. Stroke or TIA patients were older, had a history of chronic atrial fibrillation or previous stroke, were found to have enlarged heart during hospitalization, pulmonary blood stasis or pulmonary edema, paroxysmal atrial fibrillation, aspartate aminotransferase And changes in lactate dehydrogenase more common.