腦中風病人之冠狀動脈疾病研究

Coronary Artery Disease in Patients with Stroke

莊曜嘉(Yao-Chia Chuang) ； 李素菁(Su-Ching Lee)

《中華民國復健醫學會雜誌》 24卷2期 (1996/12) Pp. 107-112

https://doi.org/10.6315/JRMA.199612.0003

摘要

Heart disease is one of the leading causes of death in patients with stroke. Coronary artery disease not only adversely influences the stroke outcome but also affects the functional recovery during rehabilitation.
By using retrospective analysis, this study investigated 777 inpatients with stroke. The age ranged from 17 to 101 years. The impact of coronary artery disease (CAD), silent myocardial ischemia (SMI), and CAD attack during admission on the stroke was studied.
The results showed that CAD was positively related to hypertension, DM, stroke history, recurrent stroke during admission, and mortality. The SMI was associated with hypertension and stroke history. The CAD attack during admission would affect the recurrence of stroke and mortality during hospitalization.
In this study, we find that CAD significantly affects the short-term prognosis and the mortality of stroke. Although the SMI does not influence the short-term outcome in patients with stroke, further study is recommeded to understand the influence of the SMI to the long-term outcome of stroke.

關鍵字

腦中風 ； 冠狀動脈疾病 ； 無徵兆心肌缺血

並列摘要

Heart disease is one of the leading causes of death in patients with stroke. Coronary artery disease not only adversely influences the stroke outcome but also affects the functional recovery during rehabilitation.
By using retrospective analysis, this study investigated 777 inpatients with stroke. The age ranged from 17 to 101 years. The impact of coronary artery disease (CAD), silent myocardial ischemia (SMI), and CAD attack during admission on the stroke was studied.
The results showed that CAD was positively related to hypertension, DM, stroke history, recurrent stroke during admission, and mortality. The SMI was associated with hypertension and stroke history. The CAD attack during admission would affect the recurrence of stroke and mortality during hospitalization.
In this study, we find that CAD significantly affects the short-term prognosis and the mortality of stroke. Although the SMI does not influence the short-term outcome in patients with stroke, further study is recommeded to understand the influence of the SMI to the long-term outcome of stroke.

並列關鍵字

stroke ； coronary artery disease ； silent myocardial ischemia