摘要
约1/3的缺血性卒中患者发病原因不清,被称为隐源性卒中。过去认为隐源性卒中可能与亚临床房颤有关,通过延长心电监测时间可发现隐匿性房颤。新近的研究提示,无论是否存在房颤,一些具有明显心房结构改变和功能异常的患者容易发生心房血栓栓塞。而心房基质改变可能会在心电图上表现出来,成为心房心肌病的诊断线索。本文回顾了心房心肌病心电图标志及其与隐源性卒中相关性的研究进展。
About one third of ischemic strokes have no defined etiology,which is classified as cryptogenic stroke.It was supposed that subclinical atrial fibrillation(AF)may be related with cryptogenic stroke.Prolongation of ECG monitoring time helps to detect covert AF.However,recent studies suggested that some patients with ob-vious atrial structural changes and functional abnormalities are prone to suffer from atrial thromboembolism regardless of the presence of AF.These abnormal alterations of atrial substrate may show up in ECGs and become a diagnostic clue for atrial cardiomyopathy.This article reviews the advances in the relativity between electrocardiographic markers of atrial cardiomypathy and cryptogenic stroke.
作者
佘飘飘
王德国
She Piao-piao;Wang De-guo(Department of Gerontology,the First Affiliated Hospital of Wannan Medical College,Wuhu Anhui 241001,China)
出处
《实用心电学杂志》
2020年第5期363-366,共4页
Journal of Practical Electrocardiology
基金
国家自然科学基金资助项目(81670301)
弋矶山医院高峰培育计划资助项目(YJSGFR201914)。
关键词
缺血性卒中
心电图
P波
心房纤维化
心房扩大
心房心肌病
ischemic stroke
electrocardiogram
P wave
atrial fibrosis
atrial dilation
atrial cardiomyopathy
