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心源性脑梗塞(Cardiagenic cerebral Infarction,CCI)是心脏病的重要并发症,也是常见的缺血性脑卒中,约占脑卒中总数的15—20％。本文复习文献,就CCI的临床、栓子起源、预后及抗凝治疗等问题做一综述,供参考。一、诊断标准临床诊断CCI的标准是具有脑梗塞的症状与体征,并具备以下情况之一者:(1)风湿性心脏病患者,特别是合并有心房纤颤者;(2)冠状动脉硬化性心脏病合并心房纤颤者;(3)新近发生的心肌梗塞,突然发生脑卒中者;(4)最近认为慢性窦性心律紊乱和二尖瓣脱垂症的病人可能发生CCI;(5)老年人非风湿性心脏病的心房纤颤。
Cardiocerebral infarction (Cardiacnic cerebral Infarction, CCI) is an important complication of heart disease, is also a common ischemic stroke, accounting for about 15-20% of the total number of strokes. This article reviews the literature on the clinical CCI, the origin of emboli, prognosis and anticoagulant therapy and other issues to be reviewed for reference. First, the diagnostic criteria for clinical diagnosis of CCI is the standard of symptoms and signs of cerebral infarction, and have one of the following conditions: (1) patients with rheumatic heart disease, especially those with atrial fibrillation; (2) coronary atherosclerosis (3) recent myocardial infarction with sudden stroke; (4) CCI may occur in patients with recent chronic sinus rhythm disorders and mitral valve prolapse; (5) Atrial fibrillation in the elderly without rheumatic heart disease.