卒中-心脏综合征的研究进展  

The research progress of stroke-heart syndrome

作　　者：李倩倩 李颖 Li Qianqian;Li Ying(Jinshan Hospital Affiliated to Fudan University,Shanghai 201508,China)

机构地区：[1]上海复旦大学附属金山医院重症医学科,上海201508

出　　处：《神经疾病与精神卫生》2023年第9期680-684,共5页Journal of Neuroscience and Mental Health

摘　　要：卒中-心脏综合征是指卒中后30 d内发生的心血管并发症,包括急性心肌损伤、急性冠状动脉综合征、心功能不全、心律失常等。相关研究显示,自主神经功能障碍、脑-肠轴损害、炎症等可能是卒中-心脏综合征的发病机制,但其病因及预后仍未阐明。此外,卒中-心脏综合征可能出现心肌梗死、慢性心功能障碍、脑白质病变、认知障碍等各种远期并发症,影响患者的预后。本文综述卒中-心脏综合征的发病机制、远期并发症以及早期风险评估方法的相关研究进展,旨在加深对此病的理解,为未来探寻更恰当的预防和治疗手段提供参考。Stroke-heart syndrome is defined as a cardiovascular complication occurring within 30 days after stroke,including acute myocardial injury,acute coronary syndrome,cardiac insufficiency,arrhythmia,etc.Recent studies indicated that autonomic dysfunction,brain-gut axis damage,and inflammation may be involved in its pathogenesis.However,its etiology and prognosis are still not well elucidated.In addition,the stroke-heart syndrome may lead to a series of long-term complications like myocardial infarction,chronic cardiac dysfunction,cerebral white matter lesions,cognitive impairment,etc.,which can affect the prognosis of patients.This article reviews the research progress on the pathogenesis,long-term complications,and early risk assessment methods of stroke cardiac syndrome,aiming to deepen the understanding of this disease and provide reference for the development of more prevention and treatment methods in the future.

关 键 词：卒中-心脏综合征 发病机制 神经系统并发症 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R54[医药卫生—临床医学]