超声心动图在急性脑梗死患者心脏形态结构及功能评估中的应用价值

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Abstract Objective To study the application value of echocardiography in the evaluation of cardiac morphology and function in patients with acute cerebral infarction. Methods A total of 80 patients with acute cerebral infarction admitted to Bengbu First People’s Hospital of Anhui Province (“our hospital” for short) from March 2018 to March 2020 were selected as the acute cerebral infarction group, while 64 healthy people who had physical examination in Department of Outpatient of our hospital were selected as the control group. The left heart morphology, right heart morphology and cardiac function were compared between the two groups. Results The left ventricular end-systolic volume, left ventricular end-diastolic volume, left ventricular posterior wall diastolic thickness, left ventricular end-diastolic inner diameter and left atrial inner diameter in patients with the acute cerebral infarction group were larger than those in the control group, and the differences were statistically significant (all P ＜ 0.05). The right ventricular diastolic interventricular septum thickness, right ventricular end diastolic inner diameter and main pulmonary artery inner diameter in patients with the acute cerebral infarction group were larger than those in the control group (all P ＜ 0.05). Stroke volume, left ventricular ejection fraction, early diastolic mitral valve maximum blood flow velocity and early diastolic mitral valve maximum blood flow velocity/late diastolic mitral valve maximum blood flow velocity in patients with the acute cerebral infarction group were lower than those of the control group, and late diastolic mitral valve maximum blood flow velocity was higher than that in the control group, and the differences were statistically significant (all P ＜ 0.05). Conclusion Left ventricular hypertrophy and left atrial enlargement are common echocardiographic changes in cardiac morphology in patients with acute cerebral infarction. Observing cardiac morphology and function of the heart by echocardiography can provide a reference for the diagnosis and treatment of acute cerebral infarction.

Key words： Acute cerebral infarction Echocardiography Cardiac morphology Cardiac function Left ventricular hypertrophy Left atrial enlargement

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	LI Chuanqiang1 GAO Feng2 CHENG Yu1 LI Songnian1

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LI Chuanqiang1 GAO Feng2 CHENG Yu1 LI Songnian1. Application value of echocardiography in the evaluation of cardiac morphology and function in patients with acute cerebral infarction[J]. 中国医药导报, 2021, 18(4): 151-154.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I4/151

[1] Okin PM，Kamel H，Kjeldsen SE，et al. Electrocardiographic left atrial abnormalities and risk of incident stroke in hypertensive patients with electrocardiographic left ventricular hypertrophy [J]. J Hypertens，2016，34（9）：1831-1837.
[2] 陈彩华，郑叶祥，查达珍，等.脑梗死患者颈动脉粥样硬化斑块分析及其对患者复发的影响[J].河北医学，2016， 22（12）：1939-1942.
[3] 宋燕峰，吴朝霞，刘红，等.H型高血压与急性脑梗死的相关性研究[J].内科急危重症杂志，2016，22（1）：17-18.
[4] Alloubani A，Saleh A，Abdelhafiz I. Hypertension and diabetes mellitus as a predictive risk factors for stroke [J]. Diabetes Metab Syndr，2018，12（4）：577-584.
[5] 涂宇，巩萱，彭芥微，等.急性脑梗死患者颈动脉内膜中层厚度与左心房、左心室增大的相关性[J].实用医学杂志，2019，35（3）：360-364.
[6] Hoit BD. Assessment of Left Atrial Function by Echocardiography：Novel Insights [J]. Curr Cardiol Rep，2018，20（10）：96.
[7] 刘鸣，贺茂林.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志，2015，48（4）：246-257.
[8] Miles JA，Garber L，Ghosh S，et al. Association of Transthoracic Echocardiography Findings and Long-Term Outcomes in Patients Undergoing Workup of Stroke [J]. J Stroke Cerebrovasc Dis，2018，27（11）：2943-2950.
[9] O’Neal WT，Almahmoud MF，Qureshi WT，et al. Electrocardiographic and Echocardiographic Left Ventricular Hypertrophy in the Prediction of Stroke in the Elderly [J]. J Stroke Cerebrovasc Dis，2015，24（9）：1991-1997.
[10] 张娟，张连仲.实时三维超声心动图评估左心房功能指标研究进展[J].中华实用诊断与治疗杂志，2016，30（3）：215-217.
[11] Aizawa Y，Tanimoto Y，Hirata Y，et al. Incidence，Clinical Characteristics，and Long-term Outcome of the Dilated Phase of Hypertrophic Cardiomyopathy [J]. Keio J Med，2019，68（4）：87-94.
[12] 王艳，黄久仪，陈庆华，等.左心室肥厚与脑血流动力学变化及脑卒中发病风险的关系[J].中华老年心脑血管病杂志，2017，19（12）：1295-1298.
[13] Delgado V，Di Biase L，Leung M，et al. Structure and Function of the Left Atrium and Left Atrial Appendage：AF and Stroke Implications [J]. J Am Coll Cardiol，2017， 70（25）：3157-3172.
[14] Leong DP，Joyce E，Debonnaire P，et al. Left Atrial Dysfunction in the Pathogenesis of Cryptogenic Stroke：Novel Insights from Speckle-Tracking Echocardiography [J]. J Am Soc Echocardiogr，2017，30（1）：71-79.e1.
[15] Linde A，Gerdts E，Waje-Andreassen U，et al. Covariables and types of abnormal left ventricular geometry in nonelderly ischemic stroke survivors：the Norwegian Stroke in the Young Study [J]. J Hypertens，2018，36（9）：1858-1864.
[16] Jordan K，Yaghi S，Poppas A，et al. Left Atrial Volume Index Is Associated With Cardioembolic Stroke and Atrial Fibrillation Detection After Embolic Stroke of Undetermined Source [J]. Stroke，2019，50（8）：1997-2001.
[17] 任群，刘彦君，傅蕴韵，等.经食道超声心动图在不明原因脑梗死诊断中的临床价值[J].临床超声医学杂志，2017， 19（8）：574-575.
[18] Hrishi AP，Lionel KR，Prathapadas U. Head Rules Over the Heart：Cardiac Manifestations of Cerebral Disorders [J]. Indian J Crit Care Med，2019，23（7）：329-335.
[19] 李敏，张梅，杨志强.老年急性脑梗死病人短期预后相关因素的分析[J].实用老年医学，2017，31（7）：623-626.
[20] Sano H，Chambers JP. Ability of pulse wave transit time to detect changes in stroke volume and to estimate cardiac output compared to thermodilution technique in isoflurane-anaesthetised dogs [J]. Vet Anaesth Analg，2017， 44（5）：1057-1067.
[21] Meisel K，Yuan K，Fang Q，et al. Embolic Stroke of Undetermined Source：A Population with Left Atrial Dysfunction [J]. J Stroke Cerebrovasc Dis，2019，28（7）：1891-1896.
[22] Oliveira MMC，Sampaio EES，Kawaoka JR，et al. Silent Cerebral Infarctions with Reduced，Mid-Range and Preserved Ejection Fraction in Patients with Heart Failure [J]. Arq Bras Cardiol，2018，111（3）：419-422.
[23] Ryu WS，Bae EK，Park SH，et al. Increased Left Ventricular Filling Pressure and Arterial Occlusion in Stroke Related to Atrial Fibrillation [J]. J Stroke Cerebrovasc Dis，2018，27（5）：1275-1282.
[24] Meloux A，Rigal E，Rochette L，et al. Ischemic Stroke Increases Heart Vulnerability to Ischemia-Reperfusion and Alters Myocardial Cardioprotective Pathways [J]. Stroke，2018，49（11）：2752-2760.
[25] Blech B，O’Carroll C. Acute Right Middle Cerebral Artery Occlusion Resulting in Acute Systolic Heart Failure，Cerebral T-Waves，and QTc Prolongation：A Case Report [J]. Neurologist，2018，23（4）：135-137.