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急性心梗并发胸血管意外的住院疗效很差。近年来报导这一并发症的发生率在0.6～8.6%之间。几项研究已经证明抗凝剂对预防全身栓塞的疗效,但急性心梗的总死亡率并未降低。1981～1983年,我们对以色列十三个医院共5,839名急性心梗病人进行临床分析。99%病人的死亡随访至1988年3月。脑血管意外(CVA)的诊断是根据突发周围神经障碍(肢体及/或面部麻痹)至少持续24小时。47例在急性心梗后发生脑血管意外。另有7例发生一过性脑缺血发作(TIA),24小时内神经障碍恢复。对这54例 CVA—TIA 病人的特征和预后也进行分析。脑出血、脑血栓或脑栓塞未予鉴别。将无 CVA—TIA 的心梗病人做为对照组。在1983年底前,对
Acute myocardial infarction complicated by thoracic vascular hospitalization is poor. The incidence of this complication reported in recent years is between 0.6 and 8.6%. Several studies have demonstrated the efficacy of anticoagulants in preventing systemic embolism, but the overall mortality of acute MI did not decrease. From 1981 to 1983, we conducted a clinical analysis of 5,839 acute myocardial infarction patients in 13 hospitals in Israel. 99% of the patients were followed up until March 1988. The diagnosis of cerebrovascular accident (CVA) is based on sudden peripheral neurological disorders (limbs and / or facial paralysis) for at least 24 hours. 47 cases of cerebrovascular accidents after acute myocardial infarction. Another 7 cases of transient ischemic attack (TIA), neurological disorders within 24 hours recovery. The characteristics and prognosis of these 54 patients with CVA-TIA were also analyzed. Cerebral hemorrhage, cerebral thrombosis or cerebral embolism were not identified. The non-CVA-TIA myocardial infarction patients as a control group. By the end of 1983, yes