缺血性脑卒中的心电图表现模式

Sk. Mahbub Alam, Md. Rafiqul Islam, H. Z. Rahman, Md Rezaul Karim Khan, M. Bhuiyan, A. K. Shaikh
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引用次数: 0

摘要

背景:缺血性脑卒中的诊断仍然是一个临床问题,通过神经影像学获得确凿的证据。心电图改变在缺血性脑卒中患者中很常见。目的:本研究的目的是观察缺血性脑卒中患者的心电图表现。材料与方法:本研究于2006年7月至2008年10月在达卡Bangabandhu Sheikh Mujib医科大学(BSMMU)神经内科进行。采用目的抽样法选取36例急性缺血性脑卒中患者,经病史、临床表现诊断,头部CT扫描证实。回顾调查对象的临床资料和调查情况。数据记录在预先设计的数据收集表中。结果:以7 ~ 6岁(33.3%)和9 ~ 6岁(25%)为主,男女比例为1.25:1。心电图异常患者中,心肌缺血7例(19.4%),传导阻滞及室性心律失常4例(11.1%),房颤7例(19.4%),心室肥厚5例(13.9%),心肌梗死7例(19.4%),ST段非特异性改变6例(16.7%)。结论:心肌缺血、房颤和心肌梗死是缺血性脑卒中患者常见的心电图表现。孟加拉国神经科学杂志2014;Vol. 30 (1): 23-26
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pattern of ECG findings in Ischemic Stroke
Background: The diagnosis of ischemic stroke remains a clinical one, with confirmatory evidence obtained through neuroimaging. ECG changes are common in patients with ischemic stroke. Objective: The objective of this study was to see ECG findings among ischemic stroke patients. Materials and Methods: This study was carried out in the Department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from July 2006 to October 2008. A total of 36 patients with acute Ischemic stroke were selected by purposive sampling method and diagnosed by history, clinical findings ard was confirmed by CT scan of head. The clinical details, investigations of the respondents were reviewed. Data were recorded in a pre-designed data collection sheet. Result: Majority of the subjects were in 7th decade 12(33.3%) and 6th decade 9(25%) with the male to female ratio was 1.25:1. Among the patients with abnormal electrocardiographic findings, 7(19.4%) patients each had myocardial ischemia, 4(11.1%) had conduction block and ventricular arrhythmias, 7(19.4%) had atrial fibrillation, 5(13.9%) had ventricular hypertrophy, 7(19.4%) had myocardial infarction, 6(16.7%) patients had non-specific ST changes. Conclusion: Myocardial ischemia, atrial fibrillation and myocardial infarction are common electrocardiographic findings of ischemic stroke patients. Bangladesh Journal of Neuroscience 2014; Vol. 30 (1): 23-26
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