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1、1About the risk factors of acute cerebrovascular disease in patients with cardiogenic sudden deathAuthor: Wang Yingpeng Mudan Lei Guo-Xiong Ranger Wang Yinglian Keywords acute cerebrovascular disease Keywords: acute cerebrovascular disease; sudden cardiac death; ECG Abstract: Objective To investigat
2、e the acute cerebrovascular disease the (ACVD sudden cardiac death (SCD incidence and related factors. Observe the incidence of sudden cardiac death in patients with acute cerebrovascular disease 494 cases occurred, and by the non-sudden death by comparison, analysis in early disease ECG changes, an
3、d the relationship of the lesion and disease. sudden cardiac death rate was 2.4%, the disease early ECG abnormalities (91.7%), significantly higher than the non-sudden death (P 0.05 sudden cardiac death were mainly seen in mild cerebral infarction (CI patients, the relative concentration of the age
4、of 56 (56 + -9 years, has little to do with sex, and regardless of the lesion. conclusions acute cerebrovascular disease in 2patients with cardiogenic sudden death occur in the light in patients with cerebral infarction, 1mo after the onset of the risk of sudden death is always present. Keywords: ac
5、ute cerebrovascular disease; sudden cardiac death; electrocardiogram Abstract: AIM To study the incidence and related factors of sudden cardiac death (SCDin patients of acute cerebrovas-cular disease (ACVD.METHODS The incidence and oc-curring time of SCD in494cases of ACVD were observed.By comparing
6、 with non-sudden death cases , the relationships be-tween SCD incidence and factors such as changes of ECG at the early stage of the disease, cerebral lesion sites, age, sex and severity were analyzed.RESULTS The incidence of SCD is2.4%. Abnormality rate of ECG in SCD patients in the early stage is9
7、1.7%, significantly higher than that of the non-sudden death patients (P 0.05.Most SCD occurred in patients with small functional deficits cerebral infarction.The age of SCD patients is around56 (56 + - 9.There was no significant correlation between the SCD and sex or lesion site.CONCLUSION SCD of A
8、CVD is most likely to occur in mild cerebral infarction patients.The risk 3of SCD exists throughout the first month of stroke. 0 Introduction Sudden cardiac death (sudden cardic death, SCD is the cause of sudden death due to cardiac causes, is not uncommon in clinical practice, and there is an upwar
9、d trend in 1,2. Observed acute cerebrovascular disease (acute cere-bral vascular disease ACVD the incidence of sudden cardiac death, and to explore its relationship with cerebrovascular disease clinical factors. 1 objects and methods 1.1 Objects 1995-12/1996-12 admitted to our hospital in order ACVD
10、 patients 494 (male 300, female 194 cases, aged 40 to 84 years old, are in line with the 1995 National cerebrovascular disease diagnostic criteria 3, and by CT or MRI confirmed. previous clear history of heart disease and cerebral embolism be other than who caused due to cardiac causes, 1h within su
11、dden loss of consciousness and death within 24h after the onset of determination for sudden cardiac death 4. 1.2 Methods All patients admitted to hospital are routine examination ECG whole group occurrence of sudden cardiac death of 12 cases, sudden cardiac death 4nature of disease and cerebrovascul
12、ar disease, the course of disease, illness and lesions, and disease early ECG changes relationship. standard press the modified Edinburgh Scandinavian study group 5 neurological deficit scores (light 0 to 15, 16 to 30 medium-sized, heavy-duty, 31 to 45 minutes. Statistical analysis: The data to x +-
13、s, and the percentage of the t-test and 2 test using SPSS software. 2 Results Cerebrovascular disease in patients with cerebral infarction (CI patients with sudden cardiac death, total death rate (31.8% was significantly higher than that of cerebral hemorrhage (CH (9.8% (P 0.05, Tab1.ACVD patients w
14、ith sudden death and non-sudden death by heart electrical abnormality rate of significant differences (P 0.05. sudden death in 12 cases of ECG abnormalities 11 cases (91.7%, 482 cases of non-sudden 5death in ECG abnormalities in 285 cases (59.1%, a significant difference (P 0.05 between the two. Tab
15、le 1 acute cerebrovascular disease in the occurrence of sudden cardiac death rate slightly ECG changes with ST-T changes and arrhythmias mainly in patients with acute cerebrovascular disease and sudden cardiac death in 11 patients with ST-T changes three cases, arrhythmia 6 patients, left ventricula
16、r hypertrophy and QT prolongation and 1 case of non-heart sudden cardiac death in 285 cases of ST-T changes 148 cases, arrhythmia 116 cases, left ventricular hypertrophy 12 cases, QT extension of the five cases, Q-wave abnormalities and ST elevation in 2 cases. electrocardiogram changes in the two gro
