缺血性脑卒中的心脏损伤及心脏磁共振成像应用的研究进展  

Research progress on cardiac injury and cardiac magnetic resonance imaging in ischemic stroke

作　　者：李寒梅 陈宗敏 李梦萍 殷梅[1] Li Hanmei;Chen Zongmin;Li Mengping;Yin Mei(Department of Neurology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)

机构地区：[1]昆明医科大学第二附属医院神经内科,650101

出　　处：《神经疾病与精神卫生》2024年第8期563-569,共7页Journal of Neuroscience and Mental Health

基　　金：云南省科技厅科技计划项目(202203AC100007-2);昆明医科大学研究生教育创新基金资助项目(2023S311)。

摘　　要：缺血性脑卒中(IS)并发心脏损伤较为常见,并可导致患者的不良预后,目前IS诊疗逐渐转入多学科合作的脑心同治模式。近年来,心脏磁共振(CMR)成像已经成为无创性评价心脏结构和功能的金标准,其在IS中的作用越来越受到重视。本文从IS心脏损伤的表现及特点、损伤机制、临床管理以及CMR成像在IS中的应用等方面进行综述,以期为IS合并心脏损伤患者的早期识别和临床管理以及CMR成像在IS患者中的应用提供理论依据。Ischemic stroke(IS)complicated with cardiac injury is common and can lead to poor prognosis for patients.Currently,the diagnosis and treatment of IS is gradually shifting towards a multidisciplinary collaboration model of simultaneous treatment of brain and heart.Recently,cardiac magnetic resonance(CMR)imaging has become the gold standard for non-invasive evaluation of cardiac structure and function,and its role in IS is increasingly valued.This paper reviews the manifestations,features,injury mechanisms and clinical managementof IS complicated with cardiac injury,and the application of CMR imaging in IS,so as to provide theoretical basis for early identification and clinical management of IS patients with cardiac injury,along with the utilization of CMR in IS cases.

关 键 词：卒中 心脏损伤 缺血性脑卒中 卒中-心脏综合征 心脏磁共振 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R445.2[医药卫生—临床医学]