从神经心脏病学到中风-心脏综合症。

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Romanian Journal of Internal Medicine Pub Date : 2023-08-04 Print Date: 2023-12-01 DOI:10.2478/rjim-2023-0020
Ileana Raluca Nistor, Leonida Gherasim
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引用次数: 0

摘要

中风-心脏综合征是神经心脏病学的一个重要章节。脑-心和中风-心的相关性都是基于神经生理学的研究,这些研究定义和描述了中枢自主神经系统和心功能之间的关系,这将在本文中介绍。中风-心脏综合征将中风发作后30天内,尤其是头几天内发生的所有心脏变化——临床、心电图、超声心动图、生物学、形态学——归为一类。它们的存在标志着脑卒中的发展和预后。下丘脑-垂体-肾上腺轴激活和高儿茶酚胺释放(肾上腺素能风暴)引起的损伤主要针对肌细胞和微循环。Takotsubo综合征和休克心肌是不同形式的神经源性心肌缺血——伴有心电图、壁运动和生物标志物的改变——通常是可逆的,尽管也有可能演变为心功能障碍。卒中-心综合征的概念和脑-心相关性为应激性心肌病或神经源性心肌损伤提供了新的科学信息。
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From Neurocardiology to Stroke-Heart Syndrome.

The Stroke-Heart syndrome is a major chapter in neurocardiology. Both brain-heart and stroke-heart correlations are based on neurophysiological studies that define and describe the relation between the central autonomic system and cardiac function and it will be presented in this narrative review. The Stroke-Heart syndrome groups the entire spectrum of cardiac changes - clinical, ECG, echocardiographic, biological, morphological - that occur in the first 30 days from the onset of stroke, especially in the first days. Their presence significantly marks the evolution and prognosis of stroke. The damage resulted from hypothalamus-pituitary-adrenal axis activation and high catecholamine release (adrenergic storm) targets mainly the myocyte and the microcirculation.The Takotsubo syndrome and Stunned myocardium are distinct forms of neurogenic myocardial ischemia - with changes in ECG, parietal motility, and biological markers - usually reversible although evolution towards cardiac dysfunction is also possible. The concept of Stroke-Heart syndrome and the brain-heart correlation brought new scientific information regarding stress cardiomyopathy or neurogenic myocardial injury.

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来源期刊
Romanian Journal of Internal Medicine
Romanian Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
5.30%
发文量
35
审稿时长
15 weeks
期刊介绍: Romanian Journal of Physics is a journal publishing physics contributions on the following themes: •Theoretical Physics & Applied Mathematics •Nuclear Physics •Solid State Physics & Materials Science •Statistical Physics & Quantum Mechanics •Optics •Spectroscopy •Plasma & Lasers •Nuclear & Elementary Particles Physics •Atomic and Molecular Physics •Astrophysics •Atmosphere and Earth Science •Environment Protection
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