CHEN Yu1, CHU Wei2 (1. Department of Special Inspection, the People′s Hospital of Banan, Chongqing 401320; 2. Department of Cardiology, Daping Hospital, the Third Military Medical University, Chongqing 400020, China)
摘要 脑心综合征是指各种原因(急性脑血管病、急性颅脑外伤、颅内炎症)所致的继发性心脏电活动的改变。心电图表现以ST改变、各种心律失常及J波改变为主要特征;其心电图改变的发生机制与神经体液调节、电解质紊乱等有关。格拉斯哥昏迷评分(Glasgow coma score,GCS)与心电图异常的相关研究对患者预后有显著意义。脑心综合征起病急、进展快、病死率高,因此临床上高度重视脑心综合征的发生和发展,并且其研究具有重要价值,可为临床提供指导。
Abstract:Cerebral-cardiac syndrome refers to the secondary change of electrical activity in the heart caused by various reasons, such as acute cerebrovascular disease, acute craniocerebral injury, intracranial inflammation. Electrocardiogram(ECG) showed ST changes, various arrhythmia and J wave changes as the main features. Mechanism of ECG changes has relationship with neurohumoral regulation, electrolyte disturbances and etc. For prognosis of patients, there lies significant meaning of Glasgow coma score(GCS) and relative research about ECG abnormality. The disease is urgent, fast-developing and causes high death rate, therefore, we should clinically attach great importance to the occurrence and development of cerebral-cardiac syndrome, which has important value and serves as a guidance for practice.
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