急性脑卒中后血中肌钙蛋白升高的研究进展  

Research Progress in Elevated Troponin in Blood after Acute Stroke

作　　者：焦玉娟[1] 耿直[2] 

机构地区：[1]苏州大学医学部,江苏苏州215000 [2]上海市第六人民医院神经内科,上海200233

出　　处：《医学综述》2013年第17期3107-3109,共3页Medical Recapitulate

摘　　要：急性脑卒中患者可出现继发性心脏损伤的症状、体征、心电图、心肌酶变化及心室收缩功能的改变等。肌钙蛋白是特异性的心肌损伤标志物,对诊断心肌坏死具有高度的特异性和敏感性。近年来的大量研究发现,急性脑卒中可继发血中肌钙蛋白升高,这种变化与脑卒中发生的部位、程度、性质等密切相关,从而影响患者的预后。该文就急性脑卒中后肌钙蛋白升高的发生率、临床意义及可能的机制予以综述。Some cardiovascular manifestations could be found in acute stroke patients, such as abnormal- ities in electrocardiography, myocardial enzyme elevation and the changes of ventricular systolic function. Troponin is a highly sensitive and specific marker of myocardial necrosis, which will raise after acute stroke, and the change is closely related with the position, degree and nature of the stroke,influencing the prognosis of the patients. Here is to make a review of the incidence, clinical significance and possible mechanism of elevated troponin after acute stroke.

关 键 词：脑卒中 肌钙蛋白 心电图 预后 机制 

分 类 号：R743.3[医药卫生—神经病学与精神病学]